Active NPI
Bloom Therapy Services, LLC
- Speech-Language Pathologist
- Flowood, MS
National Provider Identifier
1891489266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BLOOM THERAPY SERVICES, LLC
- Practice address
- 5719 Highway 25 Ste 202
Flowood, MS 39232-7763 - Phone
- (662) 571-7114
- NPI assigned
- Jun 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Monaghan, MA, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (662) 571-7114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5719 Highway 25 Ste 202
Flowood, MS 39232-7763
Mailing address
5719 Highway 25 Ste 202
Flowood, MS 39232-7763
National Provider Directory
National Provider DirectoryLocations
5719 Highway 25
Ste 202
Flowood, MS 39232
Phone (662) 571-7114
Practitioners & affiliated clinicians
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.
-
- Speech-Language Pathologist
- Brandon, MS
- NPI 1184962086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1891489266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5719 HIGHWAY 25 STE 202",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5719 HIGHWAY 25 STE 202",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327763",
"telephone_number": "662-571-7114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "MONAGHAN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "662-571-7114",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Daphne Meshea Bilbrew, MD
- Bio-Medical Applications of Mississippi, Inc. (Fresenius Medical Care Lakeland Home Program)
- Lauren Blakeney, FNP
- Carol Bliss, PT
- Jordan Anne Blocker
- Bluehealth LLC
- BNB Healthcare, LLC (VitalCaring Group)
- Body and Face Plastic Surgery
- Gregory H Boling, M.D.
- Bolton Clinic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.