Healthcare Provider Details

I. General information

NPI: 1841136256
Provider Name (Legal Business Name): SEED TO BLOOM COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 MAIN ST STE 103
FERDINAND IN
47532-9568
US

IV. Provider business mailing address

566 E MARIAH HILL RD
FERDINAND IN
47532-9737
US

V. Phone/Fax

Practice location:
  • Phone: 812-639-1931
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NICOLE NALE
Title or Position: LCSW, OWNER
Credential:
Phone: 812-639-1931