Bloom Behavioral Health Llc

LBN: Bloom Behavioral Health Llc
Bloom Behavioral Health Llc is an health care organization with primary practice located at 160 Blue Lake St , Richmond Hill GA 31324-4435. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Bloom Behavioral Health Llc can be contacted via phone (601) 896-2102, or through Crawford, Brandy via phone (601) 896-2102.

Contact Information

Primary practice address
160 Blue Lake St Richmond Hill GA 31324-4435
Phone: (601) 896-2102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Brandy MSN, APRN, PMHNP-BC
Phone: (601) 896-2102

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1073351805
LBN Legal business name Bloom Behavioral Health Llc
DBA Doing business as
Authorized official Crawford, Brandy MSN, APRN, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2024
Last updated Jul 16th, 2024 - about last year

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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