Healthcare Provider Details

I. General information

NPI: 1093633851
Provider Name (Legal Business Name): CHANCE TO BLUME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 CENTER ST
BETHLEHEM PA
18018-2507
US

IV. Provider business mailing address

1502 CENTER ST
BETHLEHEM PA
18018-2507
US

V. Phone/Fax

Practice location:
  • Phone: 484-282-0338
  • Fax:
Mailing address:
  • Phone:
  • 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: CASSANDRA BLUM
Title or Position: OWNER-OPERATOR
Credential: LCSW
Phone: 484-282-0338