OrganizationActive
Bloom Mental Wellness Center, LLC
NPI 1053270967 · Psychiatric/Mental Health Registered Nurse · Milford, MA
Provider details
- NPI number
- 1053270967
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Maurine Kisob, Executive Director(508) 297-8603
Specialties & taxonomies
Nursing Service Providers
Practice location
208 Main St Ste 110
Milford, MA 01757-2502
Phone: (508) 297-8603
Fax: (508) 484-6226
Approximate (ZIP-level) locationGet directions
Mailing address
208 Main St Ste 110
Milford, MA 01757-2502
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.