BLOOM THERAPY LLC
NPI 1720794852
Counselor in Twin Falls, ID

Active since January 23, 2023
112 SHOSHONE ST. E.SUITE 210, TWIN FALLS, ID 83301(208) 420-5336 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2023, Jan 23, 2023 (2 updates tracked since 2023).

About Bloom Therapy Llc NPPES

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

BLOOM THERAPY LLC (NPI 1720794852) is a healthcare organization registered as a counselor in Twin Falls, Idaho and active in the NPI registry since January 2023. The organization lists Irma Pavlovic, Owner, as its authorized official.

NPPES Registry Identity

NPI1720794852
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameBLOOM THERAPY LLC
Location Address112 SHOSHONE ST. E.SUITE 210Twin Falls, ID 83301-8330
Mailing Address847 Sun Peak WayTwin Falls, ID 83301-8977 · (208) 420-5336
Organization SubpartNo
Authorized OfficialIrma PavlovicOwner · (208) 420-5336
Enumeration DateJanuary 23, 2023
Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
NPI 1720794852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
112 SHOSHONE ST. E.SUITE 210, Twin Falls, ID 83301

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

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 Therapy LLC's NPI number?

The NPI number for Bloom Therapy LLC is 1720794852. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Bloom Therapy LLC located?

Bloom Therapy LLC is located at 112 Shoshone St. E.Suite 210, Twin Falls, ID 83301. The listed phone number is (208) 420-5336.

What is Bloom Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Bloom Therapy LLC was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.