Provider Demographics
NPI:1568989291
Name:BLOOM COUNSELING, LLC
Entity Type:Organization
Organization Name:BLOOM COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROFESSIONAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISA
Authorized Official - Middle Name:NUNZIA
Authorized Official - Last Name:DILEONE-HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:407-739-0107
Mailing Address - Street 1:120 HARDIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-3974
Mailing Address - Country:US
Mailing Address - Phone:407-739-0107
Mailing Address - Fax:
Practice Address - Street 1:4800 WHITESPORT CIR SW STE 2
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6443
Practice Address - Country:US
Practice Address - Phone:256-533-9393
Practice Address - Fax:256-533-9690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3117261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)