Blooming Clematis Therapy & Consulting LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BLOOMING CLEMATIS THERAPY & CONSULTING LLC

Practice address

2214 W Los Arboles PL
Chandler, AZ 85224-2143

Phone

(480) 340-1236

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Vicki Davis, CREDENTIALING

Title

Credentialing Manager

Phone

(602) 609-5255

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1558055152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8130",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852468130",
            "telephone_number": "480-340-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 W LOS ARBOLES PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242143",
            "telephone_number": "480-340-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING CLEMATIS THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-609-5255",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brodi Rae Blomdahl, B.S
• Bloom and Prosper Therapy
• Bloom Med, LLC
• Bloom Pediatric Dentistry, PLLC
• Daniel Bloom
• Bloomkidz Inc.
• Bloomkidz Inc.
• Blue Heart LLC
• Blue Sage Chandler
• Blue Sage Healing Centers

• Marriage & Family Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.