Provider Demographics
NPI:1407668452
Name:BLOOM THERAPY MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:BLOOM THERAPY MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAM-WHITER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:347-509-5210
Mailing Address - Street 1:326 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5002
Mailing Address - Country:US
Mailing Address - Phone:347-509-5210
Mailing Address - Fax:
Practice Address - Street 1:326 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5002
Practice Address - Country:US
Practice Address - Phone:347-509-5210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty