Rebel in Bloom, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REBEL IN BLOOM, PLLC

Practice address

2525 South Lamar Blvd, Ste 15
Austin, TX 78704-4789

Phone

(512) 920-5317

Fax

(512) 920-5317

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Natalia Lux Amari, LCSW

Title

Owner/Psychotherapist

Phone

(512) 920-5317

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yumnah Syed-Swift, LCSW

  • Social Worker
  • Taylor, TX
  • NPI 1568071405
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1497399026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SOUTH LAMAR BLVD, STE 15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044789",
            "telephone_number": "512-920-5317",
            "fax_number": "512-920-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SOUTH LAMAR BLVD, STE 15",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044789",
            "telephone_number": "512-920-5317",
            "fax_number": "512-920-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL IN BLOOM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "AMARI",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_middle_name": "LUX",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-920-5317",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Michael Reardon, MD
• Donna L Reaves, LPC, LMFT
• Rhonda Rebecca Reavis, OT
• Brett Allen Rebal, M.D.
• Rebecca Pokluda, P.C.
• Leslie Judiy Escobar Rebeles
• Daniel Chase Reber, R.N.
• Ana Rebollar
• Katherine R Rebuck, PA-C
• Rebuild and Renew Counseling Services, LLC

• Adult Mental Health Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.