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General NPI Number Information
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NPI Number | 1396496790
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Entity Type | Organization
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Legal Business Name | BLOOMING MINDS COUNSELING LLC
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 111 E MORFORD ST
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City | MCMINNVILLE
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State | TN
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Zip | 37110-2521
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Country | US
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Telephone | 931-386-6300
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Fax | 931-386-6301
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Provider Business Mailing Address
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Address Line | 111 E MORFORD ST
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City | MCMINNVILLE
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State | TN
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Zip | 37110-2521
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Country | US
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Telephone | 931-386-6300
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Fax | 931-386-6301
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY PAWLAK
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Credential | LMFT
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Telephone | 931-387-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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