Organization
BLOOM THERAPY, PLLC
Active
Other names
Bloom Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATY DAVID LPC-S (CLINICAL DIRECTOR/SUPERVISOR)
(512) 660-9611
Entity
Organization
Contact information
Practice address
1205 W 43RD ST, AUSTIN, TX 78756-3301
(512) 660-9611
(512) 220-1075
Mailing address
1205 W 43RD ST, AUSTIN, TX 78756-3301
(512) 660-9611
(512) 220-1075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
69652
TX
Other
Enumeration date
12/01/2014
Last updated
01/03/2023
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