BLOOM THERAPY PLLC NPI 1649677006

NPI Information

BLOOM THERAPY, PLLC is a professional counselor in Austin, TX. BLOOM THERAPY, PLLC NPI is 1649677006. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bloom Therapy.

The provider's business location address is:

1205 W 43RD ST
AUSTIN, TX
ZIP 78756-301
Phone: (512) 660-9611
Fax: (512) 220-1075

The provider's authorized official is Katy David .
The authorized official title is Clinical Director/supervisor and has the following contact phone number (512) 660-9611.

The enumeration date for this NPI number is 12/1/2014 and was last updated on 12/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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