Organization
BLOOM THERAPY, PLLC
Active
Organization
BLOOM THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BLOOM LMSW (PSYCHOTHERAPIST/ BUSINESS OWNER)
(517) 420-0220
Entity
Organization
Contact information
Practice address
4366 RAMSGATE LN, BLOOMFIELD HILLS, MI 48302-1638
(517) 420-0220
Mailing address
4301 ORCHARD LAKE RD STE 180-147, WEST BLOOMFIELD, MI 48323-1604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/04/2022
Last updated
05/10/2022
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