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BLOOM BEHAVIOR AND CONSULTING SERVICES NPI 1205374907


NPI Information

NPI: 1205374907
Provider Name: BLOOM BEHAVIOR AND CONSULTING SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
85 STONEHEIGHTS DR
WATERFORD, CT
ZIP 06385
Phone: (860) 917-0923
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BLOOM BEHAVIOR AND CONSULTING SERVICES is a community behavioral health in Waterford, CT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BLOOM BEHAVIOR AND CONSULTING SERVICES NPI is 1205374907. The provider is registered as an organization entity type.

The provider's business location address is:

85 STONEHEIGHTS DR
WATERFORD, CT
ZIP 06385-975
Phone: (860) 917-0923

The provider's authorized official is Courtney Pinner .
The authorized official title is Member and has the following contact phone number (860) 917-0923.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 2/2/2017.


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
1251S00000XCommunity/Behavioral Health1-14-10399CONNECTICUTYes

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: 5/5/2024

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