Ibloom Wellness Clinic PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IBLOOM WELLNESS CLINIC PLLC

Practice address

3838 Oak Lawn Ave Ste 1000
Dallas, TX 75219-4511

Phone

(682) 553-7827

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Christologus ObiNPI 1548970437

Title

Authorized Official

Phone

(972) 375-1634

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.

• Christologus O. Obi, APRN-CNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1548970437
  NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1538968607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "682-553-7827",
            "fax_number": "888-496-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 OAK LAWN AVE STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194511",
            "telephone_number": "682-553-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBLOOM WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "CHRISTOLOGUS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-375-1634"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzoamaka Ibezim
• Ifeanyi Chidera Ibezue
• Michelle Oluwafunmilayo Ibidapo
• Ibidunni O Ukegbu PA
• Olaolu K Ibiwoye, B.PHARM
• Antony Ibrahim, MD
• Hassan Nimer Ibrahim, M.B., B.S.
• Hicham Mohsen Ibrahim, M.D.
• Ibrahim Fuad Ibrahim, M.D.
• Kalid A Ibrahim, PHARMD.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.