Organization · Type 2 NPI
Bloom Behavioral Health LLC
Marriage & Family Therapist · Port Orange, FL
Practice location
2473 Karl Dr
Port Orange, FL 32128-6511
Fax (760) 205-4866
Mailing address
32 Olivine Ct
St. Augustine, FL 32086-0350
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…
Another provider at this address
About NPI 1114593399
Bloom Behavioral Health LLC's National Provider Identifier is 1114593399, issued on May 28, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Port Orange, FL. The record was last updated on May 11, 2023.