Organization · Type 2 NPI
Inner Bloom Psychiatric Services, LLC
Psychiatric/Mental Health Nurse Practitioner · Lakewood, OH
NPI number
1114803525
Active
Practice location
14701 Detroit Ave Ste 775B
Lakewood, OH 44107-4115
Fax (216) 516-0471
Mailing address
2040 Elbur Ave
Lakewood, OH 44107-6114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Lakewood
About NPI 1114803525
Inner Bloom Psychiatric Services, LLC's National Provider Identifier is 1114803525, issued on Aug 12, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lakewood, OH. The record was last updated on Aug 12, 2025.