IN BLOOM COUNSELING, LLC


Address: 22 Pine St, Suite 205, Bristol, CT 06010-6948
Phone: 2036261605

IN BLOOM COUNSELING, LLC (NPI# 1154856078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154856078
Entity Type Organization
Organization Name IN BLOOM COUNSELING, LLC
Practice Address 22 Pine St
Suite 205
Bristol
CT 06010-6948
Practice Telephone 2036261605
Mailing Telephone 2036261605
Enumeration Date 2017-04-28
Last Update Date 2017-04-28
Authorized Official Name DEANNA JOHNSON (OWNER)
Authorized Official Telephone 2037476980
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
1569 CT Behavioral Health & Social Service Providers

Office Location

Street Address 22 PINE ST
SUITE 205
City BRISTOL
State CT
Zip Code 06010-6948

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548225527 Joseph Marakovits Internal Medicine 22 Pine St, Suite 304, Bristol, CT 06010-6948 2006-04-20
1669822532 Kristin Somerville Physician Assistant 22 Pine St, Bristol, CT 06010-6948 2016-06-21
1528418720 Melissa Dukich Clinic/Center 22 Pine St, Bristol, CT 06010-6948 2016-06-18
1467801605 Kayla Nicole Kennedy Physician Assistant 22 Pine St, Suite 104, Bristol, CT 06010-6948 2016-06-08
1801257266 Emily Lynch Social Worker 22 Pine St, Bristol, CT 06010-6948 2016-03-14
1104228022 Christopher Tagliavini Physician Assistant 22 Pine St, Bristol, CT 06010-6948 2014-09-23
1245631662 Stephanie Milan Psychologist 22 Pine St, Suite 205, Bristol, CT 06010-6948 2014-09-05
1720491087 Introspective Counseling LLC Marriage & Family Therapist 22 Pine St, Suite 205, Bristol, CT 06010-6948 2014-06-04
1306124409 Deanna Johnson Counselor 22 Pine St, Bristol, CT 06010-6948 2011-07-25
1497989123 Jayme Leigh Mickelson Internal Medicine 22 Pine St, Bristol, CT 06010-6948 2009-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457991309 A New Hope Caregiving Alliance LLC Home Health 225 North Main Street - Suite 107, Bristol, CT 06010 2020-01-08
1154981777 Georgianna Sloate Lmft, LLC Marriage & Family Therapist 38 Kelley Street, Bristol, CT 06010 2019-06-17
1962062810 Ariel Morley Urology 15 Riverside Avenue, Bristol, CT 06010 2019-06-13
1013439488 Theresa Rose Manolitsis Student in an Organized Health Care Education/Training Program 170 Pondview Lane, Bristol, CT 06010 2017-07-07
1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1346609955 Monika Magdalena Sullivan Nurse Practitioner 122 Maple Street, Bristol, CT 06010 2016-02-11
1346660776 Peter Bellezza Podiatrist 15 Riverside Ave, Bristol, CT 06010 2014-04-24
1487088001 Stephen Alexander Merwin Social Worker 32 Laird Drive, Bristol, CT 06010 2013-08-30
1215369574 In Kyung Lee Dentist 1192 Farmington Ave., Bristol, CT 06010 2013-08-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224859 Jennifer Shuler Kever Counselor 10611 Sr 20, Bristol, FL 32321-3232 2020-10-30
1184222952 Lynn Nicole Ackert Counselor 499 Bath Road, Bristol, PA 19007 2020-10-14
1639710221 Steven William Roll Counselor 2 Canals End Rd Ste 201b, Bristol, PA 19007-4821 2019-10-04
1265081913 Tamara Diane Monroe Counselor 1250 Veterans Hwy # G18a, Bristol, PA 19007-2595 2019-09-05
1043770910 Mckeon Counseling Services LLC Counselor 102 Ridge Rd, Bristol, CT 06010-7368 2019-03-25
1649739194 Amberly Portero Counselor 10611 Florida Highway 20, Bristol, FL 32321 2019-03-14
1063903094 Lynn Marie Weisman Counselor 417 Hope St, Bristol, RI 02809-1805 2018-05-25
1992213466 Briana Donley Counselor 31 Charles St, Bristol, RI 02809-3101 2018-01-17
1447792437 Marguerite Peruto Counselor 10 Wardwell Street, Studio #4, Bristol, RI 02809 2016-11-08
1972056711 Julia Gaw Counselor 970 Hope St Unit 3, Bristol, RI 02809-5210 2016-07-28
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Competitor

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City BRISTOL
Zip Code 06010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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