Healthcare Provider Details

I. General information

NPI: 1689506123
Provider Name (Legal Business Name): BLOOM AND GROW PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 COLUMBUS AVE
SANDUSKY OH
44870-3569
US

IV. Provider business mailing address

1311 COLUMBUS AVE
SANDUSKY OH
44870-3569
US

V. Phone/Fax

Practice location:
  • Phone: 419-357-4876
  • Fax:
Mailing address:
  • Phone: 419-357-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGHAN MURRAY
Title or Position: CLINICAL PSYCHOLOGIST AND OWNER
Credential: PHD
Phone: 419-357-4876