Bloom Behavioral Health LLC
NPI 1114593399 · Marriage & Family Therapist · Port Orange, FL
Bloom Behavioral Health LLC is a Marriage & Family Therapist organization in Port Orange, FL (NPI 1114593399).
Provider details
- NPI number
- 1114593399
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elena Gonzalez, Owner(904) 788-9474
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-28
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Frequently asked questions
- What is Bloom Behavioral Health LLC's NPI number?
- Bloom Behavioral Health LLC's National Provider Identifier (NPI) is 1114593399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloom Behavioral Health LLC?
- Bloom Behavioral Health LLC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Bloom Behavioral Health LLC located?
- Bloom Behavioral Health LLC's practice location on file with NPPES is 2473 Karl Dr, Port Orange, FL 32128-6511.
- What is Bloom Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Bloom Behavioral Health LLC is (904) 788-9474.
- Who is the authorized official for Bloom Behavioral Health LLC?
- The authorized official listed on Bloom Behavioral Health LLC's NPPES record is Elena Gonzalez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloom Behavioral Health LLC's NPI active?
- Yes — Bloom Behavioral Health LLC's NPI (1114593399) is active in the NPPES registry as of the last update on 2023-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.