Bloom Counseling Center, Pllc | |
2408 Pawnee Ave Altus OK 73521-1520 | |
(580) 301-4709 | |
Not Available |
Full Name | Bloom Counseling Center, Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2408 Pawnee Ave, Altus, Oklahoma |
Authorized Official Name and Position | Maurisa Mahan (COUNSELOR) |
Authorized Official Contact | 5803014709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bloom Counseling Center, Pllc Po Box 149 Altus OK 73522-0149 Ph: (580) 301-4709 | Bloom Counseling Center, Pllc 2408 Pawnee Ave Altus OK 73521-1520 Ph: (580) 301-4709 |
NPI Number | 1609556125 |
---|---|
Provider Enumeration Date | 07/19/2023 |
Last Update Date | 07/19/2023 |
Certification Date | 07/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609556125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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