Provider Demographics
NPI:1427706514
Name:BLOOMER, MARGARET (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BLOOMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:BLOOMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 BOBWHITE DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:221 BOBWHITE DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4009
Practice Address - Country:US
Practice Address - Phone:210-807-0514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64957101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health