Bloom Pediatric Therapy, Llc

LBN: Bloom Pediatric Therapy, Llc
Bloom Pediatric Therapy, Llc is an health care organization with primary practice located at 169 Hickory Meadow Rd , Lexington SC 29072-8883. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Bloom Pediatric Therapy, Llc can be contacted via phone (803) 546-7140, or through Bunger, Emily Brooke via phone (803) 546-7140.

Contact Information

Primary practice address
169 Hickory Meadow Rd Lexington SC 29072-8883
Phone: (803) 546-7140
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bunger, Emily Brooke MCD, CCC-SLP
Phone: (803) 546-7140

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4150 South Carolina

Profile Details

NPI number 1043641251
LBN Legal business name Bloom Pediatric Therapy, Llc
DBA Doing business as
Authorized official Bunger, Emily Brooke MCD, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2013
Last updated Dec 13th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043641251 NPPES
South Carolina MEDICAID SA0823

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