Organization
MENTAL BLOOM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LYNN MFT, LPC, CAADC (OWNER/CEO)
(215) 720-1741
Entity
Organization
Contact information
Practice address
632 N 2ND ST UNIT 1101, PHILADELPHIA, PA 19123-3033
(215) 805-4212
Mailing address
632 N 2ND ST UNIT 1101, PHILADELPHIA, PA 19123-3033
(215) 720-1741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/29/2025
Last updated
03/24/2026
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