Bloom Perinatal Support, LLC.
Organization Active NPI Clinical Social Worker · Milton, FL
NPI 1780416933 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1780416933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BLOOM PERINATAL SUPPORT, LLC.
- Practice address
- 6175 Panther Dr
Milton, FL 32570-5443 - Phone
- (850) 203-0173
- NPI assigned
- Aug 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Brianna Davis, LCSW
- Title
- Owner/Therapist
- Phone
- (850) 203-0173
Practitioners 1
-
Brianna Davis, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
6175 Panther Dr
Milton, FL 32570-5443
Mailing address
6175 Panther Dr
Milton, FL 32570-5443
Other providers in Milton, FL
- Robin T Bingham
- Sara Blackstone
- Senga F Blair
- Patrick A Blanchard
- Angela Bledsoe
- Kaitlyn Marie Boland
- Haley Aliah Bonoyer
- Christopher B Bookout
- Neila Nicholson Bouchard
- Devonn Lindsey Bourg
All providers in Milton, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. 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.