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NPI 1992562961

NPI 1992562961 : ALWAYS IN BLOOM LLC : TACOMA, WA

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General NPI Number Information
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    NPI Number           |    1992562961
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALWAYS IN BLOOM LLC 
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Dates
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    Enumeration Date     |    03/05/2024
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    Last Update Date     |    03/05/2024
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Provider Practice Location Address
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    Address Line         |    539 BROADWAY # 306 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98402-3907
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    Country              |    US
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    Telephone            |    253-844-8545
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5901 111TH STREET CT E APT 2 
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    City                 |    PUYALLUP
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    State                |    WA
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    Zip                  |    98373-4325
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    Country              |    US
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    Telephone            |    253-376-4054
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING DIRECTOR
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    Name                 |     ERIKA N WILLIAMS 
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    Credential           |    MA, LMFTA, LMHCA
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    Telephone            |    253-844-8545
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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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