Organization Active NPI

Heal & Bloom Family Therapy PLLC

  • Marriage & Family Therapist
  • Schertz, TX
National Provider Identifier
1164264180
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
HEAL & BLOOM FAMILY THERAPY PLLC
Practice address
524 Exchange Ave
Schertz, TX 78154-2182
Phone
(210) 245-7217
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ludivina Acevedo, LMFTNPI 1881399798
Title
LMFT
Phone
(210) 540-0543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

524 Exchange Ave
Schertz, TX 78154-2182

Mailing address

10227 Crystal VW
Universal City, TX 78148-4637

National Provider Directory

National Provider Directory

Locations

524 Exchange Ave
Schertz, TX 78154
Phone (210) 245-7217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1164264180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10227 CRYSTAL VW",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781484637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 EXCHANGE AVE",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542182",
            "telephone_number": "210-245-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL & BLOOM FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "LUDIVINA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "210-540-0543",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.