Bloom Therapy Center, Llc

LBN: Bloom Therapy Center, Llc
Bloom Therapy Center, Llc is an health care organization with primary practice located at 1515 Barrywood Cir W , Clarksville TN 37042-8554. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Bloom Therapy Center, Llc can be contacted via phone (985) 634-0615, or through Bankston, Charity Marie via phone (985) 634-0615.

Contact Information

Primary practice address
1515 Barrywood Cir W Clarksville TN 37042-8554
Phone: (985) 634-0615
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bankston, Charity Marie M.ED, BCBA, LBA
Phone: (985) 634-0615

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1548977796
LBN Legal business name Bloom Therapy Center, Llc
DBA Doing business as
Authorized official Bankston, Charity Marie M.ED, BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2022
Last updated Oct 27th, 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.

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