NPI 1275995128 · live from the CMS NPI Registry
Bloom Women'S Counseling, LLC
Marriage & Family Therapist in Sycamore, IL. National Provider Identifier 1275995128, active.
NPI record
| NPI | 1275995128 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 122 S Locust St, Suite 5, Sycamore, IL 60178 |
| Practice phone | 815-508-6936 |
| Enumerated | March 21, 2016 |
| Last updated | March 21, 2016 |
| Authorized official | Stephanie Nelson-Gerhardt, Owner/Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166.000746 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.