Organization · Type 2 NPI

Ilyse Bloom, LLC

Marriage & Family Therapist · Boulder, CO

NPI number 1053107359 Active

Practice location

3100 Arapahoe Ave Ste 101
Boulder, CO 80303-1050

Call (303) 931-8492 Map

Mailing address

4509 Wellington Rd
Boulder, CO 80301-3155

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1053107359

Ilyse Bloom, LLC's National Provider Identifier is 1053107359, issued on Apr 15, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Boulder, CO. The record was last updated on Apr 25, 2025.