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NPI Code Detail

MEDICARE: NEW BLOOM COUNSELING PLLC

MEDICARE: NEW BLOOM COUNSELING 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1932039724
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW BLOOM COUNSELING PLLC
Provider Business Mailing Address
First Line : 1500 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-2614
Country : US
Telephone Number : 405-414-9195
Fax Number :
Provider Business Practice Location Address
First Line : 4301 N CLASSEN BLVD STE C
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-5031
Country : US
Telephone Number : 405-414-9195
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : MRS. TEQUIA SIER
Credential : LCSW
Telephone Number : 405-414-9195
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “NEW BLOOM COUNSELING PLLC ” Practice Location

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