Bloom Therapy Services

LBN: Bloom Therapy Services
Bloom Therapy Services is an health care organization with primary practice located at 3311 Fairfield Ave , Shreveport LA 71104-4103. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Bloom Therapy Services can be contacted via phone (870) 904-3412, or through Kent, Katy via phone (870) 904-3412.

Contact Information

Primary practice address
3311 Fairfield Ave Shreveport LA 71104-4103
Phone: (870) 904-3412
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kent, Katy
Phone: (870) 904-3412

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1578303889
LBN Legal business name Bloom Therapy Services
DBA Doing business as
Authorized official Kent, Katy
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2024
Last updated May 27th, 2024 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578303889 NPPES
Louisiana MEDICAID 2445243

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