Bloom Wellness Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM WELLNESS COUNSELING, LLC

Practice address

24892 Goddard Rd
Taylor, MI 48180-3931

Phone

(313) 879-4938

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Maria GalvanNPI 1619461993

Title

Founder/Therapist

Phone

(586) 484-2559

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, and the practitioner matching its NPPES authorized official.

• Erica Maria Galvan, LMSW

  • Clinical Social Worker
  • Grosse Pointe Woods, MI
  • NPI 1619461993
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1699388975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24892 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24892 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803931",
            "telephone_number": "313-879-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "586-484-2559"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chander Pal Bhatti, DDS
• Monica Billeri, RPT
• Bio-Medical Applications of Michigan Inc. (Fresenius Medical Care Taylor)
• Bio-Medical Applications of Michigan, Inc. (Fresenius Medical Care Taylor)
• BJ's Wholesale Club Inc.
• Maureen L Bogart, R.N.
• Ivy Boggia
• Kelly Bolam
• Michael Bolan, LMSW
• Manoo Boonsiri, M.D.

• Clinical Social Worker in Taylor, MI
• Providers in Taylor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.