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BLOOM BEHAVIORAL HEALTH & WELLNESS, PLLC
NPI 1083314629
Nurse Practitioner - Psychiatric/Mental Health in West Memphis, AR

Active since March 02, 2023
200 S RHODES ST STE E, WEST MEMPHIS, AR 72301(662) 912-6024(662) 265-9483 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bloom Behavioral Health & Wellness, Pllc NPPES

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

BLOOM BEHAVIORAL HEALTH & WELLNESS, PLLC (NPI 1083314629) is a healthcare organization registered as a psychiatric/mental health in West Memphis, Arkansas and active in the NPI registry since March 2023. The organization lists Charledria Mcgee, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1083314629
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOOM BEHAVIORAL HEALTH & WELLNESS, PLLC
Location Address200 S RHODES ST STE EWest Memphis, AR 72301-4213
Mailing Address2416 Fallingwater Ln Apt 102Cordova, TN 38016-7686 · (901) 870-8624 · Fax (662) 265-9483
Phone(662) 912-6024
Fax(662) 265-9483
Organization SubpartNo
Authorized OfficialCharledria McgeeOwner, Provider · (901) 870-8624
Enumeration DateMarch 2, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1083314629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
200 S RHODES ST STE E, West Memphis, AR 72301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LALICIA STEWART-MCFARLAND LPC
Counselor (Mental Health)
200 S RHODES ST STE E
WEST MEMPHIS, AR 72301
Crittenden County (901) 337-6334
GLO COUNSELING SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 S RHODES ST STE E
WEST MEMPHIS, AR 72301
Crittenden County (901) 337-6334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Behavioral Health & Wellness, PLLC's NPI number?

The NPI number for Bloom Behavioral Health & Wellness, PLLC is 1083314629. It was assigned to this organization in the NPPES registry on March 2, 2023.

Where is Bloom Behavioral Health & Wellness, PLLC located?

Bloom Behavioral Health & Wellness, PLLC is located at 200 S Rhodes St Ste E, West Memphis, AR 72301. The listed phone number is (662) 912-6024.

What is Bloom Behavioral Health & Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bloom Behavioral Health & Wellness, PLLC was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.