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NPI 1730004680

NPI 1730004680 : INNER BLOOM COUNSELING LLC : WILMINGTON, DE

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General NPI Number Information
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    NPI Number           |    1730004680
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    Entity Type          |    Organization 
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    Legal Business Name  |    INNER BLOOM COUNSELING LLC 
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Dates
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    Enumeration Date     |    08/11/2026
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    Last Update Date     |    08/11/2026
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Provider Practice Location Address
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    Address Line         |    110 W 27TH ST 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19802-3510
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    Country              |    US
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    Telephone            |    302-593-4494
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    110 W 27TH ST 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19802-3510
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    Country              |    US
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    Telephone            |    302-593-4494
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER / LICENSED PROFESSIONAL COUNS
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    Name                 |     JNEA  JENKINS 
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    Credential           |    LPCMH
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    Telephone            |    302-593-4494
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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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