Bloom Therapy Etx, LLC
Organization Active NPI Speech-Language Pathologist · Huntington, TX
NPI 1821964537 · NPPES record last updated Oct 11, 2025
Key facts
- NPI
- 1821964537
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- BLOOM THERAPY ETX, LLC
- Practice address
- 3226 Gilliland Creek Rd
Huntington, TX 75949-3436 - Phone
- (936) 465-8164
- NPI assigned
- Oct 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Aley Vardeman, SLP
- Title
- Owner/Treating Therapist
- Phone
- (936) 465-8164
Practitioners 2
-
Aley Vardeman, MS, CCC/SLP
-
Hannah Moore, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251205004370 | TX | Part B Supplier - Clinic/Group Practice | 2961995063 |
Receives reassigned benefits from 1 practitioner Practice locations: Lufkin, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
3226 Gilliland Creek Rd
Huntington, TX 75949-3436
Mailing address
3226 Gilliland Creek Rd
Huntington, TX 75949-3436
Phone (936) 465-8164
Other providers in Huntington, TX
- All Personal Assistance, L.L.C.
- Charlotte Poe Bingham
- Brookshire Brothers Inc
- Shelby Lauren Bryan
- Michelle Compton
- Angela Lynn Day
- Distinct Focus on Life LP
All providers in Huntington, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.