Bloom Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM THERAPY

Practice address

6958 Brightwell LN
Dora, AL 35062-2613

Phone

(334) 357-9183

NPI assigned

Jun 15, 2022

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakedra J RodgersNPI 1568057222

Title

Owner

Phone

(334) 357-9183

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakedra Rodgers

  • Mental Health Counselor
  • Grove Hill, AL
  • NPI 1568057222
  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1841920477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 WATERMELON RD STE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735252",
            "telephone_number": "334-357-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 BRIGHTWELL LN",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350622613",
            "telephone_number": "334-357-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "LAKEDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-357-9183"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anna Allred, LICSW
• Angela Moore Counseling LLC
• Angela Moore Counseling LLC
• Isabella Cheree Ashley, ALC
• Bagley Volunteer Fire & Rescue Inc
• Jolene Laverne Box, RDH OMT
• Katie Lauren Braden, CRNP
• Victoria Chante Brasher, FNP-C
• Bruno's Supermarkets, LLC. (Food World Pharmacy #122)
• Central Alabama Urgent Care Inc

• Mental Health Counselor in Dora, AL
• Providers in Dora, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.