Bloom Therapy – Mental Health Counselor in Dora, AL

Key facts

NPI: 1841920477
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Counselor 101YM0800X
Legal business name: BLOOM THERAPY
Practice address: 6958 Brightwell LN
Dora, AL 35062-2613
Phone: (334) 357-9183
NPI assigned: Jun 15, 2022
Organization subpart: No

Authorized official

Name: Lakedra J Rodgers NPI 1568057222
Title: Owner
Phone: (334) 357-9183

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Lakedra Rodgers Mental Health Counselor · Grove Hill, AL · NPI 1568057222

NPD Authorized official MENTAL HEALTH

National Provider Directory

Locations

4124 Watermelon Rd
Ste B
Northport, AL 35473
Phone (205) 454-1897

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	101YM0800X			Yes

Addresses

Primary practice location

6958 Brightwell LN
Dora, AL 35062-2613

Mailing address

4124 Watermelon Rd Ste B
Northport, AL 35473-5252
Phone (334) 357-9183

Other providers in Dora, AL

All providers in Dora, AL · Mental Health Counselor in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.