Bloom Behavioral Community

LBN: Bloom Behavioral Community
Bloom Behavioral Community is an health care organization with primary practice located at 819 W San Miguel Ave , Phoenix AZ 85013-1744. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as the primary health care specialty. Bloom Behavioral Community can be contacted via phone (602) 434-2612, or through Everette, Jeannette L via phone (602) 434-2612.

Contact Information

Primary practice address
819 W San Miguel Ave Phoenix AZ 85013-1744
Phone: (602) 434-2612
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Everette, Jeannette L
Phone: (602) 434-2612

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1639652266
LBN Legal business name Bloom Behavioral Community
DBA Doing business as
Authorized official Everette, Jeannette L
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 10th, 2018
Last updated Sep 10th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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