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General NPI Number Information
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NPI Number | 1528970100
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Entity Type | Organization
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Legal Business Name | BLOOM & RISE THERAPY PLLC
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 28111 S FIRETHORNE RD STE 101
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City | KATY
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State | TX
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Zip | 77494-0317
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Country | US
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Telephone | 210-692-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 8414 BLOSSOM BELL LN
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City | MISSOURI CITY
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State | TX
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Zip | 77489-6205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LPC
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Name | ROSHUNDA HARTISON
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Credential | LPC
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Telephone | 210-692-4468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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