Healthcare Provider Details

I. General information

NPI: 1932039724
Provider Name (Legal Business Name): NEW BLOOM COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 N CLASSEN BLVD STE C
OKLAHOMA CITY OK
73118-5031
US

IV. Provider business mailing address

1500 NE 13TH ST
OKLAHOMA CITY OK
73117-2614
US

V. Phone/Fax

Practice location:
  • Phone: 405-414-9195
  • Fax:
Mailing address:
  • Phone: 405-414-9195
  • 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: MRS. TEQUIA SIER
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 405-414-9195