Organization · Type 2 NPI
Bloom Harbor Collective, PLLC
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1265349914
Active
Practice location
2529 E Lancaster Ave
Fort Worth, TX 76103-2253
Mailing address
6245 Rufe Snow Dr. Ste. 280, Pmb 1050
Fort Worth, TX 76148-3352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1265349914
Bloom Harbor Collective, PLLC's National Provider Identifier is 1265349914, issued on Aug 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 8, 2026.