Organization
BLOOMING WELLNESS & THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELIND VELEZ AMAKER MFT (LMFT)
(203) 314-9715
Entity
Organization
Contact information
Practice address
234R DUNCASTER RD, BLOOMFIELD, CT 06002-1110
(860) 431-0968
Mailing address
234R DUNCASTER RD, BLOOMFIELD, CT 06002-1110
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780257865
—
CT
Enumeration date
11/23/2021
Last updated
11/23/2021
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