Bloom House Therapy and Wellness LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM HOUSE THERAPY AND WELLNESS LLC.

Practice address

337 S Walnut St
Statesboro, GA 30458-5418

Phone

(912) 493-7783

Fax

(912) 205-6876

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Chelsea Weaver, MED. LPC.NPI 1235998220

Title

Clinical Director

Phone

(912) 493-7783

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.

• Chelsea Alexus Weaver, MED. LPC.

  • Counselor
  • Statesboro, GA
  • NPI 1235998220
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1487413472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S WALNUT ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585418",
            "telephone_number": "912-493-7783",
            "fax_number": "912-205-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S WALNUT ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585418",
            "telephone_number": "912-493-7783",
            "fax_number": "912-205-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HOUSE THERAPY AND WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "912-493-7783",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED. LPC."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Blackwood
• Katherine Blair, LCSW
• Ronald David Blair Jr., LPC
• Cherie Michele Bland
• Blessed Hands Living Assistance
• Blossoming Metamorphosis Counseling, LLC
• BLR, Inc.
• BN SNF LLC
• Benjamin Boateng
• Abby C Boerner, LPC

• All providers in Statesboro, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.