Organization
BLOOM BEHAVIORAL HEALTH
Active
Organization
BLOOM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BURNEY (OWNER)
(973) 510-5578
Entity
Organization
Contact information
Practice address
250 PASSAIC AVE STE 200, FAIRFIELD, NJ 07004-2518
(973) 784-8837
Mailing address
250 PASSAIC AVE STE 200, FAIRFIELD, NJ 07004-2518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/17/2025
Last updated
08/20/2026
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