Life in Bloom Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFE IN BLOOM COUNSELING, LLC

Practice address

20 Foundry St
Concord, NH 03301-5419

Phone

(603) 232-9246

Fax

(603) 232-9246

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Fabiola Paiva

Title

Ceo

Phone

(818) 932-5190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1891562922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BLACKSTONE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031036612",
            "telephone_number": "818-932-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOUNDRY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015419",
            "telephone_number": "603-232-9246",
            "fax_number": "603-232-9246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Elm St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011844",
            "country_code": "US",
            "telephone_number": "603-232-9246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE IN BLOOM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "PAIVA",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-932-5190"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lewis, MSW
• Mark Heller Lewy, M.D.
• Yan Li, M.D.
• Amy Marie Libby, M.S. CCC-SLP
• Samantha Licciardi Gemma
• Lifewalk
• Courtney Jayne Ligor, MCD CCC SLP
• Stacey Lillios, PT
• Jason Lim, M.D.
• Joanne G. Linden, ED.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Concord, NH
• Providers in Concord, NH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.