MEDICARE: BLOOM ART AND INTEGRATED THERAPIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	4057-125	WI

General Provider Information

NPI Number	:	1083972897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOM ART AND INTEGRATED THERAPIES LLC

Provider Business Mailing Address
First Line	:	700 W VIRGINIA ST STE 204
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-1549
Country	:	US
Telephone Number	:	414-207-4565
Fax Number	:	414-348-0206

Provider Business Practice Location Address
First Line	:	700 W VIRGINIA ST STE 204
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-1549
Country	:	US
Telephone Number	:	414-207-4565
Fax Number	:	414-348-0206

Authorized Official
Title or Position	:	OWNER, PSYCHOTHERAPIST
Name	:	MRS. EMILY C NOLAN
Credential	:	MA, LPC ATR-BC
Telephone Number	:	414-378-0602

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	12/02/2025

Similar Medicare Providers

1376710749 — EMILY CATHLEEN NOLAN MA
Practice Location Address:

700 W VIRGINIA ST
MILWAUKEE, WI
53204-1549

Practice Phone: 414-378-0602
Practice Fax:

1821695172 — BROOKE MARIE MILLER MA, R-DMT
Practice Location Address:

700 W VIRGINIA ST STE 204
MILWAUKEE, WI
53204-1549

Practice Phone: 414-207-4565
Practice Fax: 414-348-0206

1669172250 — SHEILA HOLLOWAY LPC-IT
Practice Location Address:

700 W VIRGINIA ST STE 204
MILWAUKEE, WI
53204-1549

Practice Phone: 414-207-4565
Practice Fax:

1144196056 — EMILY BULTHUIS
Practice Location Address:

700 W VIRGINIA ST
MILWAUKEE, WI
53204-1549

Practice Phone: 414-502-9067
Practice Fax:

1851306906 — WALGREEN CO
Practice Location Address:

2727 W NORTH AVE
MILWAUKEE, WI
53208-1549

Practice Phone: 414-933-9150
Practice Fax:

1942474671 — MS. CATHERINE ANN SWESSE; MSW
Practice Location Address:

620 S 76TH ST , SUITE 120
MILWAUKEE, WI
53214-1549

Practice Phone: 414-475-3029
Practice Fax: 414-453-3389

Directions to “BLOOM ART AND INTEGRATED THERAPIES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.