Healthcare Provider Details

I. General information

NPI: 1215856471
Provider Name (Legal Business Name): BOND AND BLOOM COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 CEDAR LAKE RD APT 1012
BILOXI MS
39532-4645
US

IV. Provider business mailing address

831 CEDAR LAKE RD APT 1012
BILOXI MS
39532-4645
US

V. Phone/Fax

Practice location:
  • Phone: 228-346-1968
  • Fax:
Mailing address:
  • Phone:
  • 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: KIMBERLY MCELROY
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 228-346-1968