Bloom Therapy, PLC
Organization Active NPI Mental Health Counselor · Bettendorf, IA
NPI 1740901388 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1740901388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- BLOOM THERAPY, PLC
- Practice address
- 3350 Utica Ridge Rd
Bettendorf, IA 52722-1616 - Phone
- (563) 265-5063
- Fax
- (877) 583-4958
- NPI assigned
- Sep 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Zachery Nielsen, LMHC, NCC
- Title
- Owner
- Phone
- (563) 265-5063
Subparts reporting this organization as parent 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Mental Health Counselor |
101YM0800X | Yes | ||
| School Counselor |
101YS0200X | |||
| Clinical Social Worker |
1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
3350 Utica Ridge Rd
Bettendorf, IA 52722-1616
Mailing address
3350 Utica Ridge Rd
Bettendorf, IA 52722-1616
Phone (563) 265-5063
Other providers in Bettendorf, IA
- Ashley Katherine Binks
- Paul Ralph Black Jr.
- Trina Gebauer Blair
- Amy L Blevins
- Bloom Business Services, LLC
- Bloom Wellness Group
- Wendy Sue Bloomhuff
- Bridget Marie Blunk
- Joshua David Blunt
- Beth Bly
All providers in Bettendorf, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.