Organization
GLOOM AND BLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROSS-MOORE LICSW (OWNER)
(718) 340-8974
Entity
Organization
Contact information
Practice address
4315 50TH ST NW STE 100, WASHINGTON, DC 20016-4369
(202) 430-5478
Mailing address
4315 50TH ST NW STE 100, WASHINGTON, DC 20016-4369
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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