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AMANDA LISETTE BLOOM
NPI 1235063215
Counselor - Mental Health in Hilton Head Island, SC

Active since June 12, 2026
11 SOUTHWOOD PARK DR APT 54, HILTON HEAD ISLAND, SC 29926(843) 304-2242 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Lisette Bloom NPPES

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

AMANDA LISETTE BLOOM (NPI 1235063215) is an individual mental health provider in Hilton Head Island, South Carolina, licensed in South Carolina (11915) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1235063215
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA LISETTE BLOOM
Location Address11 SOUTHWOOD PARK DR APT 54Hilton Head Island, SC 29926-2476
Mailing Address11 Southwood Park Dr Apt 54Hilton Head Island, SC 29926-2476 · (843) 304-2242
Phone(843) 304-2242
Sole ProprietorYes
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1235063215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 11915
11 SOUTHWOOD PARK DR APT 54, Hilton Head Island, SC 29926
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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 Amanda Bloom's NPI number?

The NPI number for Amanda Bloom is 1235063215. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Amanda Bloom located?

Amanda Bloom practices at 11 Southwood Park Dr Apt 54, Hilton Head Island, SC 29926. The listed phone number is (843) 304-2242.

What is Amanda Bloom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amanda Bloom was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.