Provider Demographics
NPI:1295560043
Name:EMBER AND BLOOM COUNSELING
Entity type:Organization
Organization Name:EMBER AND BLOOM COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:THUERLING
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-641-5489
Mailing Address - Street 1:16 BAILEY AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-1602
Mailing Address - Country:US
Mailing Address - Phone:203-641-5489
Mailing Address - Fax:
Practice Address - Street 1:857 N MAIN STREET EXT STE 1
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2465
Practice Address - Country:US
Practice Address - Phone:203-212-9024
Practice Address - Fax:203-718-8474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty