Provider Demographics
NPI:1457172934
Name:BLOOMING MINDS COUNSELING
Entity type:Organization
Organization Name:BLOOMING MINDS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HALLE
Authorized Official - Middle Name:TYREE
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP, PCMSW
Authorized Official - Phone:402-710-8162
Mailing Address - Street 1:8790 F ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1524
Mailing Address - Country:US
Mailing Address - Phone:402-710-8162
Mailing Address - Fax:
Practice Address - Street 1:8790 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1524
Practice Address - Country:US
Practice Address - Phone:402-710-8162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty