Organization · Type 2 NPI

Rebel In Bloom, PLLC

Adult Mental Health Clinic/Center · Austin, TX

NPI number 1497399026 Active

Practice location

2525 South Lamar Blvd, Ste 15
Austin, TX 78704-4789

Call (512) 920-5317 Map

Fax (512) 920-5317

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1497399026

Rebel In Bloom, PLLC's National Provider Identifier is 1497399026, issued on Nov 6, 2019. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Austin, TX. The record was last updated on Nov 6, 2019.