Provider Demographics
NPI:1992562961
Name:ALWAYS IN BLOOM LLC
Entity type:Organization
Organization Name:ALWAYS IN BLOOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:N
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFTA, LMHCA
Authorized Official - Phone:253-844-8545
Mailing Address - Street 1:5901 111TH STREET CT E APT 2
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4325
Mailing Address - Country:US
Mailing Address - Phone:253-376-4054
Mailing Address - Fax:
Practice Address - Street 1:539 BROADWAY # 306
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3907
Practice Address - Country:US
Practice Address - Phone:253-844-8545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA16138845OtherCAQH