Organization
BLOOMWELL BEHAVIORAL HEALTH INC.
Active
Other names
Bloomwell Behavioral Health Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN PRATT (CEO)
(612) 201-2468
Entity
Organization
Contact information
Practice address
7007 S 181ST ST STE 101A, OMAHA, NE 68136-2013
(612) 201-2468
(919) 561-6112
Mailing address
382 NE 191ST ST, MIAMI, FL 33179-3899
(612) 201-2468
(919) 561-6112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/20/2025
Last updated
04/28/2025
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