Bloom Speech Therapy
LBN: Bloom Speech Therapy
Bloom Speech Therapy is an health care organization with primary practice located at 105 Toad Rd , Columbia SC 29209-3177. The organization recently has 5 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Nursing Care, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Public Health, State or Local. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty.
Bloom Speech Therapy can be contacted via phone (803) 260-6253, or through Martin, Courtney Olivia via phone (803) 260-6253.
Contact Information
Primary practice address
105 Toad Rd
Columbia SC 29209-3177
Phone: (803) 260-6253
Fax: (855) 202-0515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Agencies / Nursing Care | 251J00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | ||
| Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X |
Profile Details
| NPI number | 1104564384 |
|---|---|
| LBN Legal business name | Bloom Speech Therapy |
| DBA Doing business as | |
| Authorized official | Martin, Courtney Olivia MA,CCC-SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2022 |
| Last updated | May 26th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104564384 | NPPES |
| South Carolina | MEDICAID | SA1908 |
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