Organization · Type 2 NPI
Bloom Psychotherapy LLC
Mental Health Counselor · Stoughton, WI
NPI number
1912845926
Active
Practice location
409 W South St
Stoughton, WI 53589-2459
Mailing address
2935 S Fish Hatchery Rd Ste 334
Fitchburg, WI 53711-6434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1912845926
Bloom Psychotherapy LLC's National Provider Identifier is 1912845926, issued on Mar 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stoughton, WI. The record was last updated on Mar 26, 2026.