IndividualActive
Brianna Bloom
NPI 1619647427 · Mental Health Counselor · Vinita, OK
Provider details
- NPI number
- 1619647427
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
Approximate (ZIP-level) locationGet directions
Mailing address
405 E Excelsior Ave
Vinita, OK 74301-4226
Registry dates
- Enumerated
- 2021-09-14
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.