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General NPI Number Information
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NPI Number | 1699620609
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Entity Type | Organization
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Legal Business Name | BRIDGE & BLOOM COUNSELING, LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 1301 YORK RD STE 800-1019
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6035
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Country | US
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Telephone | 667-298-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 1956 HOLLINS FERRY RD
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City | BALTIMORE
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State | MD
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Zip | 21230-1605
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Country | US
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Telephone | 667-298-2467
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Fax | 667-220-0086
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Authorized Official
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Title or Position | OWNER
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Name | SARITA FORD
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Credential | LCSW-C
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Telephone | 667-298-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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