Provider Demographics
NPI:1235811530
Name:ALL IN BLOOM THERAPY
Entity Type:Organization
Organization Name:ALL IN BLOOM THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLIGAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:682-382-0020
Mailing Address - Street 1:7900 E UNION AVE STE 1100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16083 FILLMORE STREET
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602
Practice Address - Country:US
Practice Address - Phone:682-382-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty