Organization
BLOOM THERAPY ETX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEY VARDEMAN SLP (OWNER/TREATING THERAPIST)
(936) 465-8164
Entity
Organization
Contact information
Practice address
3226 GILLILAND CREEK RD, HUNTINGTON, TX 75949-3436
(936) 465-8164
Mailing address
3226 GILLILAND CREEK RD, HUNTINGTON, TX 75949-3436
(936) 465-8164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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