Healthcare Provider Details

I. General information

NPI: 1952228132
Provider Name (Legal Business Name): IN BLOOM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E WASHINGTON ST UNIT 42
NORTH ATTLEBORO MA
02760-6324
US

IV. Provider business mailing address

500 E WASHINGTON ST UNIT 42
NORTH ATTLEBORO MA
02760-6324
US

V. Phone/Fax

Practice location:
  • Phone: 774-294-0477
  • Fax:
Mailing address:
  • Phone: 774-294-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACHEL KUNTZ
Title or Position: PRACTICE OWNER
Credential:
Phone: 774-294-0477