Provider Demographics
NPI:1467345207
Name:INSIGHT & BLOOM CENTER FOR PSYCHOTHERAPY PLLC
Entity type:Organization
Organization Name:INSIGHT & BLOOM CENTER FOR PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-577-3068
Mailing Address - Street 1:1550 PLATTE ST APT 264
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-6228
Mailing Address - Country:US
Mailing Address - Phone:415-577-3068
Mailing Address - Fax:
Practice Address - Street 1:1550 PLATTE ST APT 264
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-6228
Practice Address - Country:US
Practice Address - Phone:415-577-3068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty