Bloom Pediatric Therapy

LBN: Bloom Pediatric Therapy
Bloom Pediatric Therapy is an health care organization with primary practice located at 541 N Mount Juliet Rd Ste 2201A , Mount Juliet TN 37122-3876. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Hearing and Speech. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Bloom Pediatric Therapy can be contacted via phone (615) 208-4849, or through Bonham, Kelcy Victoria via phone (615) 208-4849.

Contact Information

Primary practice address
541 N Mount Juliet Rd Ste 2201A Mount Juliet TN 37122-3876
Phone: (615) 208-4849
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonham, Kelcy Victoria SLP, CLC
Phone: (615) 208-4849

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X

Profile Details

NPI number 1831894815
LBN Legal business name Bloom Pediatric Therapy
DBA Doing business as
Authorized official Bonham, Kelcy Victoria SLP, CLC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2023
Last updated Jun 7th, 2023 - 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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