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General NPI Number Information
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NPI Number | 1821913633
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Entity Type | Organization
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Legal Business Name | BLOOM NEUROTHERAPY AND 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 | 6797 N HIGH ST STE 223
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City | WORTHINGTON
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State | OH
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Zip | 43085-2533
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Country | US
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Telephone | 614-505-9041
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Fax | 614-412-5572
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Provider Business Mailing Address
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Address Line | 6797 N HIGH ST STE 223
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City | WORTHINGTON
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State | OH
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Zip | 43085-2533
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Country | US
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Telephone | 614-505-9041
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Fax | 614-412-5572
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JENNIFER MARIE GOTTFRIED
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Credential | LPCC-S
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Telephone | 614-505-9041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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