Organization
BLOOM THERAPY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHERY NIELSEN LMHC, NCC (OWNER)
(563) 265-5063
Entity
Organization
Contact information
Practice address
3350 UTICA RIDGE RD, BETTENDORF, IA 52722-1616
(563) 265-5063
(877) 583-4958
Mailing address
3350 UTICA RIDGE RD, BETTENDORF, IA 52722-1616
(563) 265-5063
(877) 583-4958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
09/12/2022
Last updated
03/03/2023
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