Healthcare Provider Details

I. General information

NPI: 1205746138
Provider Name (Legal Business Name): ABLOOM COUNSELING A LICENSED PROFESSIONAL CLINICAL COUNSELOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 W OLIVE AVE FL 5
BURBANK CA
91505-4572
US

IV. Provider business mailing address

2600 W OLIVE AVE FL 5
BURBANK CA
91505-4572
US

V. Phone/Fax

Practice location:
  • Phone: 818-639-2546
  • Fax:
Mailing address:
  • Phone: 818-639-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDRANIK TERZYAN
Title or Position: LPCC
Credential:
Phone: 818-639-2546