Organization · Type 2 NPI
Bloom Behavioral Group
Mental Health Counselor · Joplin, MO
NPI number
1336811462
Active
Practice location
3922 Chipmunk Dr
Joplin, MO 64804-8711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1336811462
Bloom Behavioral Group's National Provider Identifier is 1336811462, issued on Sep 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Joplin, MO. The record was last updated on Sep 28, 2021.