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BLOOM MENTAL WELLNESS TEAM LLC 1881361244

Overview
Name: BLOOM MENTAL WELLNESS TEAM LLC Specialty: Mental Health Clinic/Center (Including Community Mental Health Center) Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Mental Health (Including Community Mental Health Center). Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: BLOOM MENTAL WELLNESS TEAM LLC,345 DOUCET RD STE 102,LAFAYETTE,LA,705033490,US Mailing Address: BLOOM MENTAL WELLNESS TEAM LLC,4602 NOAH RD,MAURICE,LA,705553065,US
Contact #
Practice location phone #: 3372059725 Practice location fax #: Mailing address Phone #: 3373545578 Mailing Address fax #: Authorized official Name/Telephone #:KATHERINE, HEBERT, LCSW, CO OWNER 3373545578
Misc
Date NPI was obtained: 08/24/2021 Last data data was updated: 08/24/2021 Insurances:

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