FALL BLOOM LLC NPI 1750242723

NPI Information

  • NPI: 1750242723
  • Provider Name: FALL BLOOM, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 8759 CLINTON MACON RD
    CLINTON, MI
    ZIP 49236
  • Phone: (517) 552-2222

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NPI Details

FALL BLOOM, LLC is a psychiatric/mental health nurse practitioner in Clinton, MI. FALL BLOOM, LLC NPI is 1750242723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8759 CLINTON MACON RD
CLINTON, MI
ZIP 49236-572
Phone: (517) 552-2222
Fax: (517) 552-2222

The provider's authorized official is Claudia J Fall .
The authorized official title is Pmhnp-bc and has the following contact phone number (517) 552-2222.

The enumeration date for this NPI number is 11/19/2025 and was last updated on 11/19/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental 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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