MEDICARE: THE EVERBLOOM INSTITUTE, 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1407793565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EVERBLOOM INSTITUTE, INC.

Provider Business Mailing Address
First Line	:	320 N BROADWAY STE 104
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-3642
Country	:	US
Telephone Number	:	405-653-8012
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 N BROADWAY STE 104
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-3642
Country	:	US
Telephone Number	:	405-653-8012
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TARA ANN SMITH
Credential	:	ED.S, LPC
Telephone Number	:	405-653-7269

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

Similar Medicare Providers

1992864847 — JANE F MATA LMFT
Practice Location Address:

320 N BROADWAY STE 110
EDMOND, OK
73034-3642

Practice Phone: 405-226-0277
Practice Fax:

1316807290 — SEASONED HOPE COUNSELING
Practice Location Address:

320 N BROADWAY STE 110
EDMOND, OK
73034-3642

Practice Phone: 405-226-0277
Practice Fax:

1952713877 — KELLEY BAILEY
Practice Location Address:

320 N BROADWAY STE 112
EDMOND, OK
73034-3642

Practice Phone: 405-601-5616
Practice Fax:

1255871703 — KELLEY BAILEY, LLC
Practice Location Address:

320 N BROADWAY STE 112
EDMOND, OK
73034-3642

Practice Phone: 405-474-1813
Practice Fax:

1578365672 — HOPEWELL COUNSELING, LLC
Practice Location Address:

320 N BROADWAY STE 100
EDMOND, OK
73034-3642

Practice Phone: 903-420-0434
Practice Fax:

1558206656 — STACIE LYNN LINDSEY LPC - CANDIDATE
Practice Location Address:

320 N BROADWAY STE 104
EDMOND, OK
73034-3642

Practice Phone: 405-818-7780
Practice Fax:

Directions to “THE EVERBLOOM INSTITUTE, INC. ” 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.