Bloom Therapy Collective LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM THERAPY COLLECTIVE LLC

Practice address

200 Main St Unit 2
Weaver, AL 36277-3802

Phone

(256) 689-6331

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By 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

Mrs. Bridgette Marie Wilson, LICSW-S, PIP, RPTNPI 1801633565

Title

Therapist

Phone

(256) 689-6331

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, and the practitioner matching its NPPES authorized official.

• Bridgette Marie Wilson, LICSW, RPT

  • Clinical Social Worker
  • Rainbow City, AL
  • NPI 1801633565
  NPD (past) Authorized official

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1700782331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JIM ANGEL DR",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362656093",
            "telephone_number": "256-689-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST UNIT 2",
            "city": "WEAVER",
            "state": "AL",
            "postal_code": "362773802",
            "telephone_number": "256-689-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "256-689-6331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW-S, PIP, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Gayle Christopher, CRNA
• Mary Hatten Clark, MS
• Shautoria Coleman
• Justin Bradrick Files
• Barbara Michelle Fulmer, LICSWPIP,

• Clinical Social Worker in Weaver, AL
• Providers in Weaver, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.