Bloom, Ilyse
Bloom, Ilyse is an sole proprietor health care provider with primary practice located at 3100 Arapahoe Ave Ste 101 , Boulder CO 80303-1050. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bloom, Ilyse can be contacted via phone (130) 393-1849.Contact Information
Primary practice address
3100 Arapahoe Ave Ste 101
Boulder CO 80303-1050
Phone: (130) 393-1849
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1739 | Colorado |
Profile Details
| NPI number | 1821662396 |
|---|---|
| LBN Legal business name | Bloom, Ilyse |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2021 |
| Last updated | May 18th, 2021 - about 4 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.
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