Bloom, Lynn Marie
Bloom, Lynn Marie is an individual health care provider with primary practice located at 5905 Golden Valley Rd Suite 100, Golden Valley MN 55422-4463. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bloom, Lynn Marie can be contacted via phone (763) 225-4052.Contact Information
Primary practice address
5905 Golden Valley Rd Suite 100
Golden Valley MN 55422-4463
Phone: (763) 225-4052
Fax: (888) 965-5130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302028 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14996 | Minnesota |
Profile Details
| NPI number | 1255734240 |
|---|---|
| LBN Legal business name | Bloom, Lynn Marie |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2014 |
| Last updated | Oct 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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