Healthcare Provider Details

I. General information

NPI: 1831021096
Provider Name (Legal Business Name): BLOOM COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 GARFIELD AVE.
N HAVEN CT
06473
US

IV. Provider business mailing address

2335 DIXWELL AVE STE 2 STE 2 PMB1119
HAMDEN CT
06514-2100
US

V. Phone/Fax

Practice location:
  • Phone: 203-208-8450
  • Fax:
Mailing address:
  • Phone: 203-208-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. BREANNA ROSE AURIGEMA
Title or Position: OWNER
Credential: LCSW
Phone: 203-208-8450