Organization
BLOOM MENTAL WELLNESS TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HEBERT LCSW (CO OWNER)
(337) 354-5578
Entity
Organization
Contact information
Practice address
345 DOUCET RD STE 102, LAFAYETTE, LA 70503-3490
(337) 205-9725
Mailing address
4602 NOAH RD, MAURICE, LA 70555-3065
(337) 354-5578
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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