AMANDA L BLOOM BS
NPI 1013287671
Counselor in Logansport, IN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since January 12, 2012

1807 SMITH ST, LOGANSPORT, IN 46947(574) 732-1414(574) 732-0504 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amanda L Bloom Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA L BLOOM BS (NPI 1013287671) is an individual counselor in Logansport, Indiana and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1013287671

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMANDA L BLOOMCredential: BS

Location Address1807 SMITH STLogansport, IN 46947-1576

Mailing Address1807 Smith StLogansport, IN 46947-1576 · (574) 732-1414 · Fax (574) 732-0504

Phone(574) 732-1414

Fax(574) 732-0504

Sole ProprietorNo

Enumeration DateJanuary 12, 2012

✔ NPI 1013287671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1807 SMITH ST, Logansport, IN 46947

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