Healthcare Provider Details

I. General information

NPI: 1578474425
Provider Name (Legal Business Name): BLOOMWELL,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PEARL ST
NEW ALBANY IN
47150-4753
US

IV. Provider business mailing address

700 PEARL ST
NEW ALBANY IN
47150-4753
US

V. Phone/Fax

Practice location:
  • Phone: 812-955-6610
  • Fax:
Mailing address:
  • Phone: 812-955-6610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JULIE RIGRISH
Title or Position: COO
Credential: LCAC
Phone: 502-468-2949