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Bloom Behavioral Health Llc
Marriage & Family Therapist in Port Orange, Florida
NPI 1114593399

Bloom Behavioral Health Llc is a Marriage & Family Therapist based in Saint Augustine, FL. Bloom Behavioral Health Llc practices in Port Orange, FL. The NPI Number for Bloom Behavioral Health Llc is 1114593399 and holds a License No. (Florida).

The current practice location address for Bloom Behavioral Health Llc is 2473 Karl Dr, Port Orange, FL and can be reached out via phone at 904-788-9474 and via fax at 760-205-4866.

Location: 2473 Karl Dr, Port Orange, FL, 32086-0350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114593399
Provider Name
Bloom Behavioral Health Llc
Credential
Provider Entity Type
Organization
Address
2473 Karl Dr, Port Orange, FL, 32086-0350
Phone Number
904-788-9474
Fax Number
760-205-4866
Provider Enumeration Date
05/28/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1164790143 01 NPI
1164790143 01 CA NPI 1
institution
Provider Business Practice Location Address Details
Address
2473 Karl Dr
City
Port Orange
State
Florida
Zip
32128-6511
Phone Number
904-788-9474
Fax Number
760-205-4866
person
Provider Business Mailing Address Details
Address
2473 Karl Dr
City
Port Orange
State
Florida
Zip
32128-6511
Phone Number
904-788-9474
Fax Number
760-205-4866
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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