MEDICARE: EMBER & BLOOM

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1538015862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBER & BLOOM

Provider Business Mailing Address
First Line	:	1203 AUSTIN ST UNIT 1442
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78208-1186
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 AUSTIN ST UNIT 1442
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78208-1186
Country	:	US
Telephone Number	:	954-440-5242
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA M SONG
Credential	:	LMFT
Telephone Number	:	954-801-6830

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “EMBER & BLOOM ” Practice Location

Language	Start Address	Practice Location

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