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NPI Code Detail

MEDICARE: GENERATIONAL BLOOMS INC

MEDICARE: GENERATIONAL BLOOMS INC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1316891401
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONAL BLOOMS INC
Provider Business Mailing Address
First Line : 1350 MOLER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1581
Country : US
Telephone Number : 419-299-6187
Fax Number :
Provider Business Practice Location Address
First Line : 1350 MOLER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1581
Country : US
Telephone Number : 419-299-6187
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ASHLEY GREEN
Credential : LCSW
Telephone Number : 419-299-6187
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “GENERATIONAL BLOOMS INC ” Practice Location

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