Organization
BLOOMING HEALTH CENTER LLC
Active
Organization
BLOOMING HEALTH CENTER LLC
Active
Other names
Blooming Health Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL RALAT MARTINEZ LCSW (OWNER)
(407) 301-7299
Entity
Organization
Contact information
Practice address
1701 PARK CENTER DR STE 100, ORLANDO, FL 32835-6235
(407) 301-7299
Mailing address
1701 PARK CENTER DR, STE. 100 OFFICE 131, ORLANDO, FL 32835-6235
(407) 301-7299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122081800
—
FL
Enumeration date
12/12/2024
Last updated
01/31/2025
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