Organization
BLOOMING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE ELIZABETH FOWLER MS, LPC, NCC (PRESIDENT)
(608) 772-9895
Entity
Organization
Contact information
Practice address
N8030 TOWNLINE RD, EAST TROY, WI 53120-3500
(262) 228-8931
Mailing address
12581 DUNCAN LN UNIT 103, NEW BERLIN, WI 53151-8796
(262) 228-8931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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