BLOOM RECOVERY NPI 1902339740

NPI Information

  • NPI: 1902339740
  • Provider Name: BLOOM RECOVERY
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 470 E 3900 S
    SUITE 101
    SALT LAKE CITY, UT
    ZIP 84107
  • Phone: (801) 809-6011

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NPI Details

BLOOM RECOVERY is a counselor in Salt Lake City, UT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. BLOOM RECOVERY NPI is 1902339740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

470 E 3900 S
SUITE 101
SALT LAKE CITY, UT
ZIP 84107-880
Phone: (801) 809-6011

The provider's authorized official is Alex F Runolfson .
The authorized official title is President and has the following contact phone number (801) 809-6011.

The enumeration date for this NPI number is 4/8/2017 and was last updated on 4/8/2017.

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
1101Y00000XCounselor8922867-6004UTAHYes

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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