MEDICARE: HOPE IN BLOOM COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1245161348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE IN BLOOM COUNSELING, LLC

Provider Business Mailing Address
First Line	:	3154 HIDDEN RIDGE TER
Second Line	:
City	:	ABINGDON
State	:	MD
Zip	:	21009-3213
Country	:	US
Telephone Number	:	973-903-4478
Fax Number	:	973-903-4478

Provider Business Practice Location Address
First Line	:	3154 HIDDEN RIDGE TER
Second Line	:
City	:	ABINGDON
State	:	MD
Zip	:	21009-3213
Country	:	US
Telephone Number	:	973-903-4478
Fax Number	:	973-903-4478

Authorized Official
Title or Position	:	OWNER/PRIMARY THERAPIST
Name	:	AMANDA MARGARET JOHNSON
Credential	:	LCSW
Telephone Number	:	973-903-4478

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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