Organization
INNERBLOOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE POWELL (LCSW)
(385) 558-8466
Entity
Organization
Contact information
Practice address
1412 S LEGEND HILLS DR STE 327, CLEARFIELD, UT 84015-1592
(385) 558-8466
Mailing address
819 S 2200 W, SYRACUSE, UT 84075-7187
(385) 558-8466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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