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BLOOM BEHAVIOR THERAPY LLC NPI 1770853939


NPI Information

NPI: 1770853939
Provider Name: BLOOM BEHAVIOR THERAPY LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
6201 BENTON RD
PADUCAH, KY
ZIP 42003
Phone: (270) 908-0461
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BLOOM BEHAVIOR THERAPY LLC is a community behavioral health in Paducah, KY. 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 THERAPY LLC NPI is 1770853939. The provider is registered as an organization entity type.

The provider's business location address is:

6201 BENTON RD
PADUCAH, KY
ZIP 42003-304
Phone: (270) 908-0461
Fax: (270) 366-0780

The provider's authorized official is Becky L Nastally .
The authorized official title is Owner and has the following contact phone number (270) 908-0461.

The enumeration date for this NPI number is 1/5/2012 and was last updated on 7/8/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2103K00000XBehavior AnalystKY-0016KENTUCKYNo
3251S00000XCommunity/Behavioral Health800217KENTUCKYYes

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: 4/28/2024

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