OrganizationActive
Bloom Behavioral Health & Wellness, PLLC
NPI 1083314629 · Psychiatric/Mental Health Nurse Practitioner · West Memphis, AR
Provider details
- NPI number
- 1083314629
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Charledria Mcgee, Owner, Provider(901) 870-8624
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 S Rhodes St Ste E
West Memphis, AR 72301-4213
Phone: (662) 912-6024
Fax: (662) 265-9483
Approximate (ZIP-level) locationGet directions
Mailing address
2416 Fallingwater Ln Apt 102
Cordova, TN 38016-7686
Registry dates
- Enumerated
- 2023-03-02
- Last updated
- 2023-03-02
- Certified
- 2023-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.