OrganizationActive
Bloom Behavioral Health LLC
NPI 1073351805 · Mental Health Clinic/Center (Including Community Mental Health Center) · Richmond Hill, GA
Provider details
- NPI number
- 1073351805
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandy Crawford, Pmhnp(601) 896-2102
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
160 Blue Lake St
Richmond Hill, GA 31324-4435
Phone: (601) 896-2102
Approximate (ZIP-level) locationGet directions
Mailing address
160 Blue Lake St
Richmond Hill, GA 31324-4435
Registry dates
- Enumerated
- 2024-07-16
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.