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NPI 1407546476

OrganizationActive

Bloom Aba

NPI 1407546476 · Community/Behavioral Health Agency · Goose Creek, SC

Provider details

NPI number: 1407546476
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Authorized official: Breannah Davis-Bloom, Owner Operator

Practice location

409 Clarine Dr

Goose Creek, SC 29445-3628

Phone: (336) 918-6033

More SC providers

Mailing address

78 Folly Road Blvd Ste B9

Charleston, SC 29407-7551

Registry dates

Enumerated: 2023-05-11
Last updated: 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.

Bloom Aba — NPI 1407546476, Goose Creek, SC | NPI Central