Provider Demographics
NPI:1790575173
Name:THE BLOOMING SLP
Entity type:Organization
Organization Name:THE BLOOMING SLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AASIA
Authorized Official - Middle Name:KABANI
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-455-7195
Mailing Address - Street 1:2015 HAMPTON BREEZE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2416
Mailing Address - Country:US
Mailing Address - Phone:832-455-7195
Mailing Address - Fax:
Practice Address - Street 1:2015 HAMPTON BREEZE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2416
Practice Address - Country:US
Practice Address - Phone:832-455-7195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech