New Bloom Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009321 Issued in GA

Legal business name

NEW BLOOM COUNSELING LLC

Practice address

12700 Century Dr
Suite E
Alpharetta, GA 30009-8368

Phone

(470) 776-0456

NPI assigned

Mar 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca Seamon, M.ED LPC

Title

Owner

Phone

(470) 776-0456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1831639178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OAK HOLLOW CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300040820",
            "telephone_number": "470-776-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 CENTURY DR",
            "address_2": "SUITE E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098368",
            "telephone_number": "470-776-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BLOOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SEAMON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-776-0456",
        "authorized_official_credential": "M.ED LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.