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BLOOM THERAPEUTICS, LLC
NPI 1629570056
Counselor - Mental Health in Greenbelt, MD

Active since March 01, 2018
7303 HANOVER PKWY STE C, GREENBELT, MD 20770(240) 758-2142(301) 441-2511 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 3, 2022, Mar 1, 2018 (2 updates tracked since 2018).

About Bloom Therapeutics, Llc NPPES

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

BLOOM THERAPEUTICS, LLC (NPI 1629570056) is a healthcare organization registered as a mental health in Greenbelt, Maryland and active in the NPI registry since March 2018. The organization lists Connie Jones, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1629570056
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLOOM THERAPEUTICS, LLC
Location Address7303 HANOVER PKWY STE CGreenbelt, MD 20770-2029
Mailing Address7303 Hanover Pkwy Ste CGreenbelt, MD 20770-2029 · (240) 758-2142 · Fax (240) 668-3690
Phone(240) 758-2142
Fax(301) 441-2511
Organization SubpartNo
Authorized OfficialConnie JonesTherapist/owner · (240) 758-2142
Enumeration DateMarch 1, 2018
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1629570056 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 MD · LC6689
7303 HANOVER PKWY STE C, Greenbelt, MD 20770
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. MERYL SIRMANS HEYLIGER PHD
Psychologist (Cognitive & Behavioral)
7303 HANOVER PKWY STE C
GREENBELT, MD 20770
Prince George's County (301) 441-2525
DR. DANIELLE RENAE PALMER PH.D.
Psychologist (School)
7303 HANOVER PKWY STE C
GREENBELT, MD 20770
Prince George's County (301) 441-2525
DR. REGINE M TALLEYRAND ABRAMS PHD
Psychologist (Counseling)
7303 HANOVER PKWY STE C
GREENBELT, MD 20770
Prince George's County (301) 537-3176
JOHN ROBERTSON
Social Worker (Clinical)
7303 HANOVER PKWY STE C
GREENBELT, MD 20770
Prince George's County (443) 583-4505

Frequently Asked Questions

What is BLOOM THERAPEUTICS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1629570056, enumerated as an "organization" on March 01, 2018.

Where is the provider located?

The provider is located at 7303 HANOVER PKWY STE C GREENBELT, MD 20770 and the phone number is (240) 758-2142.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.