Bloom Well Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM WELL COUNSELING, LLC

Practice address

908 W Broadway Ave
Maryville, TN 37801-4637

Phone

(865) 748-8556

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mekenzie Lane, LPC/MHSP

Title

Owner

Phone

(865) 748-8556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1245144484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CEDARWOOD LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032666",
            "telephone_number": "865-748-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014637",
            "telephone_number": "865-748-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MEKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-748-8556",
        "authorized_official_credential": "LPC/MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Maryville, TN
• Providers in Maryville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.