Bloom in Session Psychotherapy & Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM IN SESSION PSYCHOTHERAPY & CONSULTING, LLC

Practice address

3600 Jackson St Ste 113a
Alexandria, LA 71303-3040

Phone

(318) 442-5465

Fax

(318) 314-3011

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Shareka Moore-Roque, LCSW

Title

Provider/Owner

Phone

(318) 264-1069

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1205500477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WINFIELD RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-264-1069",
            "fax_number": "318-314-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JACKSON ST STE 113A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033040",
            "telephone_number": "318-442-5465",
            "fax_number": "318-314-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM IN SESSION PSYCHOTHERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "MOORE-ROQUE",
        "authorized_official_first_name": "SHAREKA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "318-264-1069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc B Blake
• Delores Ann Blakesley
• Heather Blakesley
• Hascal Bossier Blalock, PA-C
• Candace Lynne Blood, LCSW, LAC
• Bloom Psychotherapy and Empowerment Services
• Evelyn Gail Blue, LPN
• BMS Wellness
• Velva Boles, M.D.
• Shane Bolton

• All providers in Alexandria, LA
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.