Organization
BLOOM BEHAVIORAL SOLUTIONS, INC.
Active
Parent organization
BLOOM BEHAVIORAL SOLUTIONS
Other names
Bloom Rehabilitation Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOOM BEHAVIORAL SOLUTIONS
Authorized official
GENEVIEVE HICKEY COVINGTON BCBA (CEO)
(904) 647-1849
Entity
Organization
Contact information
Practice address
997 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233-3311
(904) 647-1849
(904) 647-2625
Mailing address
997 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233-3311
(904) 647-1849
(904) 647-2625
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
01/16/2025
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