Bloom Haven Mental Health L.L.C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM HAVEN MENTAL HEALTH L.L.C

Practice address

265 German Oak Dr
Cordova, TN 38018-7221

Phone

(901) 389-1832

NPI assigned

Mar 28, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Saja B Mboge, DSW, LCSWNPI 1063096469

Title

Chief Executive Officer

Phone

(901) 425-8432

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Saja B Mboge

  • Clinical Social Worker
  • Southaven, MS
  • NPI 1063096469
  NPD Authorized official

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1245170687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 GERMAN OAK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187221",
            "telephone_number": "901-389-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 GERMAN OAK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187221",
            "telephone_number": "901-389-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HAVEN MENTAL HEALTH L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "MBOGE",
        "authorized_official_first_name": "SAJA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "901-425-8432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Renea Bland
• Paul Scott Bland, D.D.S.
• Rhonda Elaine Blanks, CNA
• Teresa Annette Blanks
• Esther Plank Bledsoe, BCBA
• Kimeka Bloomfield
• Blooming Bee ABA, LLC
• Martina Blue
• Blues City Psychiatry, PLLC
• Blues City Therapy and Rehab PLLC

• Clinical Social Worker in Cordova, TN
• Providers in Cordova, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.