Provider Demographics
NPI:1154144673
Name:YOUBLOOMCOUNSELING LLC
Entity type:Organization
Organization Name:YOUBLOOMCOUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:UGUR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:608-416-9415
Mailing Address - Street 1:7656 LISA LN APT 124
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1450
Mailing Address - Country:US
Mailing Address - Phone:773-739-0631
Mailing Address - Fax:
Practice Address - Street 1:8383 GREENWAY BLVD STE 600
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-4659
Practice Address - Country:US
Practice Address - Phone:608-416-9415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)