Organization
BLOOM CARE GROUP LLC
Active
Organization
BLOOM CARE GROUP LLC
Active
Other names
Bloom Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TENYAH JOHNSON (EXECUTIVE DIRECTOR)
(804) 707-7284
Entity
Organization
Contact information
Practice address
969 2ND ST SE STE 301, CHARLOTTESVILLE, VA 22902-6172
(804) 707-7284
(804) 710-2024
Mailing address
969 2ND ST SE STE 301, CHARLOTTESVILLE, VA 22902-6172
(804) 707-7284
(804) 710-2024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
05/08/2026
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