Blooming Wellness & Therapeutic Services LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Bloomfield, CT
NPI 1740947902 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1740947902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BLOOMING WELLNESS & THERAPEUTIC SERVICES LLC
- Practice address
- 234R Duncaster Rd
Bloomfield, CT 06002-1110 - Phone
- (860) 431-0968
- NPI assigned
- Nov 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Roselind Velez Amaker, MFT
- Title
- LMFT
- Phone
- (203) 314-9715
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
234R Duncaster Rd
Bloomfield, CT 06002-1110
Mailing address
234R Duncaster Rd
Bloomfield, CT 06002-1110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780257865 | Medicaid | CT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.simplepractice.com |
Other providers in Bloomfield, CT
- Bloomfield Family Dental, PC
- Bloomfield Foot Specialists,LLC
- Bloomfield Health Care Center of Connecticut LLC
- Bloomfield Pediatric Dentistry PLLC
- Bloomfield Urgent Care, LLC
- Rita Bobb-Rollins
- Body in Motion LLC
- Mandy Marie Boehnert
- Eric Bolella
- Melissa R Bombara
All providers in Bloomfield, CT · Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. 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.