MEDICARE: BLOOM FLOURISH MENTAL HEALTH COUNSELING, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1215500921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOM FLOURISH MENTAL HEALTH COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	16 WILKEN LN
Second Line	:
City	:	BRENTWOOD
State	:	NY
Zip	:	11717-7515
Country	:	US
Telephone Number	:	631-683-8072
Fax Number	:	631-498-4952

Provider Business Practice Location Address
First Line	:	85 LOCUST AVE
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-2207
Country	:	US
Telephone Number	:	631-683-8072
Fax Number	:	631-498-4952

Authorized Official
Title or Position	:	OWNER
Name	:	TATIANA ASHLEY BAZELAIS
Credential	:	LMHC-D
Telephone Number	:	631-683-8072

Provider Enumeration Date	:	07/20/2021
Last Update Date	:	06/08/2026

Similar Medicare Providers

1407397599 — MRS. TATIANA ASHLEY BAZELAIS LMHC-D
Practice Location Address:

85 LOCUST AVE
BABYLON, NY
11702-2207

Practice Phone: 631-683-8072
Practice Fax:

1255621611 — JANINE CLOUGHERTY RN
Practice Location Address:

492 18TH ST
WEST BABYLON, NY
11704-2207

Practice Phone: 631-374-8660
Practice Fax:

1538553169 — MS. NANCY CALLEGARI
Practice Location Address:

488 18TH ST
WEST BABYLON, NY
11704-2207

Practice Phone: 631-678-1106
Practice Fax:

1194657437 — SARAH POSNER
Practice Location Address:

400 W MAIN ST STE 200
BABYLON, NY
11702-3009

Practice Phone: 631-893-6070
Practice Fax:

1033114202 — MARION B ROSE M.D.
Practice Location Address:

500 W MAIN ST , SUITE 204
BABYLON, NY
11702-3027

Practice Phone: 631-539-5400
Practice Fax: 631-539-5401

1609872167 — DR. ROBERT L CARLIN MD
Practice Location Address:

38 JAMES ST
BABYLON, NY
11702-2808

Practice Phone: 631-321-8337
Practice Fax: 631-321-9347

Directions to “BLOOM FLOURISH MENTAL HEALTH COUNSELING, PLLC ” 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 © 2007-2026 (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.