MEDICARE: ELAINE 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	101YM0800X	Mental Health Counselor	6801095301	MI

General Provider Information

NPI Number	:	1699134718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE BLOOM

Provider Business Mailing Address
First Line	:	13132 WINCHESTER AVE
Second Line	:	NONE
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1727
Country	:	US
Telephone Number	:	248-225-6440
Fax Number	:

Provider Business Practice Location Address
First Line	:	13132 WINCHESTER AVE
Second Line	:	NONE
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1727
Country	:	US
Telephone Number	:	248-225-6440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2016
Last Update Date	:	02/17/2016

Similar Medicare Providers

1649318767 — THALES WELL PHARMACY INC
Practice Location Address:

1785 NEW YORK AVE
HUNTINGTON STATION, NY
11746-1727

Practice Phone: 631-549-4900
Practice Fax: 631-549-4197

1770905309 — MR. MARTINY ST. JUSTE CEO
Practice Location Address:

1564 NEW YORK AVE
HUNTINGTON STATION, NY
11746-1727

Practice Phone: 631-421-6148
Practice Fax:

1669917951 — BRITTNEY KATO ATC
Practice Location Address:

15871 SPRINGDALE ST
HUNTINGTON BEACH, CA
92649-1727

Practice Phone: 714-893-6571
Practice Fax:

1942016266 — EZ ACUPUNCTURE PC
Practice Location Address:

1540 NEW YORK AVE
HUNTINGTON STATION, NY
11746-1727

Practice Phone: 631-837-3376
Practice Fax:

1184415325 — MR. JOHN ATUNAISA TUKIA JR.
Practice Location Address:

15871 SPRINGDALE ST
HUNTINGTON BEACH, CA
92649-1727

Practice Phone: 714-893-6571
Practice Fax:

1497616320 — MICHELLE PENDERGAST
Practice Location Address:

15871 SPRINGDALE ST
HUNTINGTON BEACH, CA
92649-1727

Practice Phone: 714-893-6571
Practice Fax:

Directions to “ ELAINE BLOOM ” 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.