Provider Demographics
NPI:1104636190
Name:THE INNER BLOOM ROOM COUNSELING PLLC
Entity type:Organization
Organization Name:THE INNER BLOOM ROOM COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE-FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC ASSOCIATE
Authorized Official - Phone:832-910-9986
Mailing Address - Street 1:4141 SOUTHWEST FWY STE 470
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7353
Mailing Address - Country:US
Mailing Address - Phone:832-910-9986
Mailing Address - Fax:
Practice Address - Street 1:4141 SOUTHWEST FWY STE 470E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7313
Practice Address - Country:US
Practice Address - Phone:832-910-9986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty