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General NPI Number Information
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NPI Number | 1609666445
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Entity Type | Organization
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Legal Business Name | BLOOMING MENTAL HEALTH LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1675 CENTER AVE W STE E
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City | DILWORTH
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State | MN
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Zip | 56529-1346
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Country | US
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Telephone | 218-303-7394
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Fax | 866-487-8936
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Provider Business Mailing Address
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Address Line | 1675 CENTER AVE W STE E
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City | DILWORTH
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State | MN
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Zip | 56529-1346
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Country | US
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Telephone | 218-303-7394
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Fax | 866-487-8936
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | MONICA SCHNEIDER
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Credential | MSW, LICSW
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Telephone | 218-303-7394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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