Bloom: Center For Art And Integrated Therapies, Llc

NPI 1083972897 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1083972897
Enumeration Date 04/30/2012
Last Updated 04/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name EMILY C EMILY
Position OWNER, PSYCHOTHERAPIST
Phone (414) 378-0602
Fax
Practice Location
2625 S GREELEY ST
SUITE 205
MILWAUKEE WI, 53207-2027, US
Phone (414) 378-0602
Fax
Business Location
2625 S GREELEY ST
SUITE 205
MILWAUKEE WI, 53207-2027, US
Phone (414) 378-0602
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Wisconsin
License Number 4057-125
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According to our database, Bloom: Center For Art And Integrated Therapies, Llc NPI is 1083972897, taxonomy code is 251S00000X and license number is 4057-125, license state is located at Wisconsin. Bloom: Center For Art And Integrated Therapies, Llc physically located at 2625 S Greeley St, Milwaukee WI, 53207-2027. NPI Number 1033115704 has the healthcare provider type.

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1083972897 NPI number is provided on an as is basis without warranty of any kind. 1083972897 is maintained by the National Plan & Provider Enumeration System. The contents of Bloom: Center For Art And Integrated Therapies, Llc are for informational purposes only.