MEDICARE: BLOOM, GROW & FOURISH COUNSELING SERVICES, PLLC

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356293377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOM, GROW & FOURISH COUNSELING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	241 HENRICKS RD
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-8427
Country	:	US
Telephone Number	:	724-822-3113
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 HENRICKS RD
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-8427
Country	:	US
Telephone Number	:	724-822-3113
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SYLVIA KNOCHEL-BELLA
Credential	:	LPC
Telephone Number	:	724-822-3113

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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