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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