Organization · Type 2 NPI
Bloom & Tide, PLLC
Mental Health Counselor · Clemmons, NC
NPI number
1386549517
Active
Practice location
1809 Kilrush Rd
Clemmons, NC 27012-7914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1386549517
Bloom & Tide, PLLC's National Provider Identifier is 1386549517, issued on Oct 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clemmons, NC. The record was last updated on Oct 8, 2026.