Organization · Type 2 NPI

Bright Bloom Therapy

Clinical Social Worker · Southlake, TX

NPI number 1386521235 Active

Practice location

1560 E. Southlake Blvd., Ste. 100
Southlake, TX 76092

Mailing address

1560 E Southlake Blvd Ste 100
Southlake, TX 76092-6462

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1386521235

Bright Bloom Therapy's National Provider Identifier is 1386521235, issued on Aug 20, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southlake, TX. The record was last updated on Sep 23, 2025.