Bloom Psychotherapy, LLC
Counselor, Mental Health in West Tisbury, Massachusetts
1598484966- Practice location
- 3 Holly Ln, West Tisbury, MA 02575-5316
- Phone
- 774-244-0598
- Fax
- —
- Last updated
- August 26, 2022
Bloom Psychotherapy, LLC is a healthcare organization based in West Tisbury, MA. Bloom Psychotherapy, LLC practices in West Tisbury, MA. The NPI Number for Bloom Psychotherapy, LLC is 1598484966. The current practice location address for Bloom Psychotherapy, LLC is 3 Holly Ln, West Tisbury, MA 02575-5316 and can be reached out via phone at 774-244-0598.
Provider Profile Details
- NPI Number
- 1598484966
- Provider Name
- Bloom Psychotherapy, LLC
- Provider Entity Type
- Organization
- Address
- 3 Holly Ln, West Tisbury, MA 02575-5316
- Phone Number
- 774-244-0598
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Kayla Johnson, LMHC · Licensed Mental Health Counselor · 774-244-0598
- Provider Enumeration Date
- August 26, 2022
- Last Update Date
- August 26, 2022
- Certification Date
- August 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Holly Ln
West Tisbury, MA 02575-5316 - City
- West Tisbury
- State
- Massachusetts
- Zip
- 02575-5316
- Phone Number
- 774-244-0598
Provider Business Mailing Address Details
- Address
- 3 Holly Ln
West Tisbury, MA 02575-5316 - City
- West Tisbury
- State
- MA
- Zip
- 02575-5316
- Phone Number
- 774-244-0598
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bloom Psychotherapy, LLC?
The NPI number of Bloom Psychotherapy, LLC is 1598484966. It was assigned on August 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Bloom Psychotherapy, LLC?
Bloom Psychotherapy, LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Bloom Psychotherapy, LLC practice?
The practice location is 3 Holly Ln, West Tisbury, MA 02575-5316. The office can be reached at 774-244-0598 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598484966 directly on the NPPES registry website.