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Blooming Minds Psychotherapy Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Sheboygan, Wisconsin
NPI 1780250035

Blooming Minds Psychotherapy Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Sheboygan, WI and is specialized in Mental Health (Including Community Mental Health Center). Blooming Minds Psychotherapy Llc practices in Sheboygan, WI. The NPI Number for Blooming Minds Psychotherapy Llc is 1780250035 and holds a License No. (Wisconsin).

The current practice location address for Blooming Minds Psychotherapy Llc is 601 N 5Th St Ste 9, Sheboygan, WI and can be reached out via phone at 920-977-3111 and via fax at 920-482-5662.

Location: 601 N 5Th St Ste 9, Sheboygan, WI, 53081-3332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780250035
Provider Name
Blooming Minds Psychotherapy Llc
Credential
Provider Entity Type
Organization
Address
601 N 5Th St Ste 9, Sheboygan, WI, 53081-3332
Phone Number
920-977-3111
Fax Number
920-482-5662
Provider Enumeration Date
05/27/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1780250035 05 WI
institution
Provider Business Practice Location Address Details
Address
601 N 5Th St Ste 9
City
Sheboygan
State
Wisconsin
Zip
53081-4623
Phone Number
920-977-3111
Fax Number
920-482-5662
person
Provider Business Mailing Address Details
Address
601 N 5Th St Ste 9
City
Sheboygan
State
Wisconsin
Zip
53081-4623
Phone Number
920-977-3111
Fax Number
920-482-5662
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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