Organization
BLOOM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MAGNUSON LCSW (OWNER, LCSW)
(303) 408-8056
Entity
Organization
Contact information
Practice address
509 SCOTT AVE STE 2D, WOODLAND PARK, CO 80863-1294
(303) 408-8056
Mailing address
417 BEAVER POND RD, DIVIDE, CO 80814-7792
(303) 408-8056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
12/18/2024
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