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Contact Information

BLOOM COUNSELING, PC
3113 WOODSIDE DR
ARDMORE, OK73401-9118
 Phone: 580-222-7023
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for BLOOM COUNSELING, PC

NPI # 1073824991
LBN Legal business name BLOOM COUNSELING, PC
Authorized official MATTHEW BLOOM - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2010
Last updated 06/29/2010 - About 16 years ago
Identifiers
OK License # 4312
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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