BLOOM WELLNESS GROUP NPI 1003799131

NPI Information

  • NPI: 1003799131
  • Provider Name: BLOOM WELLNESS GROUP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 3350 UTICA RIDGE RD
    BETTENDORF, IA
    ZIP 52722
  • Phone: (563) 265-5063

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NPI Details

BLOOM WELLNESS GROUP is a mental health counselor in Bettendorf, IA. BLOOM WELLNESS GROUP NPI is 1003799131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3350 UTICA RIDGE RD
BETTENDORF, IA
ZIP 52722-616
Phone: (563) 265-5063

The provider's authorized official is Zachery Nielsen .
The authorized official title is Co-manager and has the following contact phone number (563) 265-5063.

The enumeration date for this NPI number is 7/28/2025 and was last updated on 7/28/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5261QC1500XClinic/CenterCommunity HealthNo
6101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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