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General NPI Number Information
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NPI Number | 1396691507
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Entity Type | Organization
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Legal Business Name | NEURO BLOOM AND COMPANY LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 8041 LINFIELD WAY
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-5060
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Country | US
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Telephone | 334-596-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 8041 LINFIELD WAY
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-5060
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Country | US
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Telephone | 334-596-5566
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Fax |
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Authorized Official
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Title or Position | CEO, CLINICAL THERAPIST
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Name | HANNAH E SANFORD
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Credential | LPC
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Telephone | 334-596-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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