Organization
BLOOM PSYCHOTHERAPY AND EMPOWERMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA COPELAND NCC LPC (OWNER)
(318) 446-0592
Entity
Organization
Contact information
Practice address
5420 DOWNING ST APT 8C, ALEXANDRIA, LA 71301-3120
(318) 723-7237
Mailing address
4501 JACKSON ST EXT STE C, BOX #285, ALEXANDRIA, LA 71303-2555
(318) 723-7237
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/12/2022
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