IBLOOM WELLNESS CLINIC PLLC NPI 1538968607

NPI Information

  • NPI: 1538968607
  • Provider Name: IBLOOM WELLNESS CLINIC PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3838 OAK LAWN AVE STE 1000
    DALLAS, TX
    ZIP 75219
  • Phone: (682) 553-7827

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NPI Details

IBLOOM WELLNESS CLINIC PLLC is a mental health (including community mental health center) clinic center in Dallas, TX. IBLOOM WELLNESS CLINIC PLLC NPI is 1538968607. The provider is registered as an organization entity type.

The provider's business location address is:

3838 OAK LAWN AVE STE 1000
DALLAS, TX
ZIP 75219-511
Phone: (682) 553-7827

The provider's authorized official is Christologus Obi .
The authorized official title is Authorized Official and has the following contact phone number (972) 375-1634.

The enumeration date for this NPI number is 3/11/2025 and was last updated on 3/11/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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