Provider Demographics
NPI:1750254413
Name:EMBER & BLOOM THERAPY LLC
Entity type:Organization
Organization Name:EMBER & BLOOM THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAELEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-789-6178
Mailing Address - Street 1:245 S 84TH ST STE 119
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2651
Mailing Address - Country:US
Mailing Address - Phone:402-789-6178
Mailing Address - Fax:
Practice Address - Street 1:245 S 84TH ST STE 119
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2651
Practice Address - Country:US
Practice Address - Phone:402-789-6178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty