Bloom Connect & Wellness Center Pllc

LBN: Bloom Connect & Wellness Center Pllc
Bloom Connect & Wellness Center Pllc is an health care organization with primary practice located at 10562 Tattersall Dr , Manassas VA 20112-2407. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Bloom Connect & Wellness Center Pllc can be contacted via phone (571) 518-8036, or through Mbuen, Kenneth via phone (336) 740-6347.

Contact Information

Primary practice address
10562 Tattersall Dr Manassas VA 20112-2407
Phone: (571) 518-8036
Fax: (540) 208-1679
Website:
Map and Directions
Authorized official contact:
Name: Mbuen, Kenneth PMHNP-BC
Phone: (336) 740-6347

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1578416137
LBN Legal business name Bloom Connect & Wellness Center Pllc
DBA Doing business as
Authorized official Mbuen, Kenneth PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2026
Last updated Mar 7th, 2026 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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