Provider Demographics
NPI:1538035951
Name:BLOOM & BALANCE PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:BLOOM & BALANCE PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANNABELLE JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:941-352-9832
Mailing Address - Street 1:4116 BUTTE TRL
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-1537
Mailing Address - Country:US
Mailing Address - Phone:941-352-9832
Mailing Address - Fax:941-855-3009
Practice Address - Street 1:6901 PROFESSIONAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8473
Practice Address - Country:US
Practice Address - Phone:941-352-9832
Practice Address - Fax:941-855-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty