BLOOM THERAPY LLC (NPI# 1316587470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316587470 |
| Entity Type | Organization |
| Organization Name | BLOOM THERAPY LLC |
| Practice Address |
142 Bodine Rd Berwyn PA 19312-1027 |
| Practice Telephone | 6106394158 |
| Mailing Telephone | 9087976615 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | MRS. JENNIFER LACHANCE-POIRRIER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9087976615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278634 | Bloom Therapy LLC | Social Worker | 7467 N Ridge Blvd, Chicago, IL 60645-1902 | 2020-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BLOOM THERAPY LLC | 2435 E. Kimberly Rd. Ste 270, Bettendorf, IA 52722 |
| Street Address |
142 BODINE RD |
| City | BERWYN |
| State | PA |
| Zip Code | 19312-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169209 | Jennifer Lachance-poirrier | Counselor | 142 Bodine Rd, Berwyn, PA 19312-1027 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
| 1407279664 | True Care Medical Transport LLC | Ambulance | 1189 Lancaster Ave, Berwyn, PA 19312 | 2014-01-23 |
| 1124440730 | Sofie Heyman | Marriage & Family Therapist | 1034 Beaumont Rd, Berwyn, PA 19312 | 2014-01-16 |
| 1437303880 | Megan O'keefe | Occupational Therapist | 622 First Ave., Berwyn, PA 19312 | 2008-11-12 |
| 1235383084 | Working Together Inc. | Naturopath | 411 E. Lancaster Ave., Wayne, PA 19312 | 2008-11-06 |
| 1750559050 | Kenneth Kondracki | Pharmacist | 450 Mw Swedesford Rd, Berwyn, PA 19312 | 2008-02-20 |
| 1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
| 1760607576 | Kathleen Jane Ramsdell | Occupational Therapist | 2 Harrow Lane, Berwyn, PA 19312 | 2007-04-16 |
| 1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
| 1962550996 | Christine Marie Specht | Registered Nurse | 1199 Lancaster Avenue, Suite 106, Berwyn, PA 19312 | 2007-01-08 |
| Find all providers in zip 19312 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169209 | Jennifer Lachance-poirrier | Counselor | 142 Bodine Rd, Berwyn, PA 19312-1027 | 2019-05-13 |
| 1053834937 | Alban George Fisher | Counselor | 3239 Grove Ave Ste 2, Berwyn, IL 60402-3469 | 2017-07-21 |
| 1134672199 | Hilary R Gilway | Counselor | 3245 Grove Ave Ste 107, Berwyn, IL 60402-3475 | 2016-07-26 |
| 1568821395 | Maureen Hamilton | Counselor | 479 Winston Way, Berwyn, PA 19312-1145 | 2016-02-22 |
| 1770960445 | The Nunzia Center LLC | Counselor | 45 Bridge Ave, Berwyn, PA 19312-1760 | 2015-05-01 |
| 1841423563 | Michelle L. Desideri-sojka | Counselor | 6412 27th St, Berwyn, IL 60402-2755 | 2009-08-27 |
| 1093978801 | Darlene Kay Yoder | Counselor | 2541 Scoville Ave, Berwyn, IL 60402 | 2008-07-02 |
| 1376697268 | Lidia G Guerra | Counselor | 6711 W 26th St, Berwyn, IL 60402 | 2007-01-22 |
| 1417011230 | Raul Castro | Counselor | 3339 Highland Ave, Berwyn, IL 60402-3817 | 2006-12-20 |
| 1336220532 | William Charles Meyer | Counselor | 6918 Windsor Avenue, Berwyn, IL 60402 | 2006-10-17 |
| Find all providers in BERWYN | ||||
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| 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.