Organization
BLOOM PERINATAL SUPPORT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA DAVIS LCSW (OWNER/THERAPIST)
(850) 203-0173
Entity
Organization
Contact information
Practice address
6175 PANTHER DR, MILTON, FL 32570-5443
(850) 203-0173
Mailing address
6175 PANTHER DR, MILTON, FL 32570-5443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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