Bloom, Harold

Bloom, Harold is an individual health care provider with primary practice located at 250 North Ave , Athens GA 30601-2244. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bloom, Harold can be contacted via phone (706) 542-9739.

Contact Information

Primary practice address
250 North Ave Athens GA 30601-2244
Phone: (706) 542-9739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW000272 Georgia

Profile Details

NPI number 1114998481
LBN Legal business name Bloom, Harold
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers