Interbloom Therapy Center

LBN: Interbloom Therapy Center
Interbloom Therapy Center is an health care organization with primary practice located at 95 India St Ste 3 , Portland ME 04101-4250. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Interbloom Therapy Center can be contacted via phone (516) 710-6308, or through Rossi, Raquel via phone (516) 710-6308.

Contact Information

Primary practice address
95 India St Ste 3 Portland ME 04101-4250
Phone: (516) 710-6308
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rossi, Raquel Licensed Clinical Social Worker (LCSW)
Phone: (516) 710-6308

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1699467738
LBN Legal business name Interbloom Therapy Center
DBA Doing business as
Authorized official Rossi, Raquel Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2023
Last updated May 25th, 2023 - 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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