OrganizationActive
Bloom Mindfully Counseling PLLC
NPI 1376349043 · Clinical Social Worker · Vernon, CT
Provider details
- NPI number
- 1376349043
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Authorized official
- Mackenzie Phelps, Owner/Clinician
Practice location
281 Hartford Tpke Ste 104
Vernon, CT 06066-4760
Phone: (860) 248-6284
Mailing address
53 Meadowlark Rd
Vernon, CT 06066-4310
Registry dates
- Enumerated
- 2025-02-21
- Last updated
- 2026-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.