Organization
BLOOM THERAPY SERVICES, PLLC
Active
Other names
Bloom Therapy Services, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE J VAN-NIEL M.S. CCC-SLP (PROVIDER/OWNER)
(984) 332-9888
Entity
Organization
Contact information
Practice address
1209 COTTON ARBOR TRCE, APEX, NC 27502-7412
(984) 332-9988
Mailing address
1209 COTTON ARBOR TRCE, APEX, NC 27502-7412
(984) 332-9988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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