Organization · Type 2 NPI
Bloomin Family Therapy, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Moscow, ID
NPI number
1457036436
Active
Practice location
207 S Main St
Moscow, ID 83843-2807
Mailing address
1270A SW Center St
Pullman, WA 99163-5388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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- Idaho Dept of Health & Welfare Reg II Amh MoscowMental Health Clinic/Center (Including Community Mental Health Center) Moscow, ID NPI 1326176132
- Scott Community Care, PLLCMental Health Clinic/Center (Including Community Mental Health Center) Moscow, ID NPI 1811015308
About NPI 1457036436
Bloomin Family Therapy, LLC's National Provider Identifier is 1457036436, issued on Jun 19, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Moscow, ID. The record was last updated on Jul 3, 2024.