Mindful Bloom Therapy LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL BLOOM THERAPY LLC.

Practice address

150 Robbins Station Rd Ste 8
Irwin, PA 15642-2037

Phone

(724) 689-9147

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Olivia Seidler, LCSWNPI 1275901969

Title

Partner

Phone

(724) 689-9147

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Olivia Ann Seidler, LCSW

  • Social Worker
  • Greensburg, PA
  • NPI 1275901969
  NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1396319604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 WEDGEWOOD DR",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444781",
            "telephone_number": "724-689-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ROBBINS STATION RD STE 8",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156422037",
            "telephone_number": "724-689-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BLOOM THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "SEIDLER",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "724-689-9147",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Mills
• Mindy Mills
• Rachel Mills
• Emily Millward
• Mind Dojo LLC
• Ashley Mineard
• Jane Minnick
• Rosemarie Mirabella
• Alisa Mishra
• Kaylee Misner

• Clinical Social Worker in Irwin, PA
• Providers in Irwin, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.