BLOOM BEHAVIOR THERAPY LLC
NPI 1770853939
Community/Behavioral Health in Paducah, KY

Q: What is Bloom Behavior Therapy LLC's NPI number?

The NPI number for Bloom Behavior Therapy LLC is 1770853939. It was assigned to this organization in the NPPES registry on January 5, 2012.

Q: What is Bloom Behavior Therapy LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since January 05, 2012

6201 BENTON RD, PADUCAH, KY 42003(270) 908-0461(270) 366-0780 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Bloom Behavior Therapy Llc NPPES

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

BLOOM BEHAVIOR THERAPY LLC (NPI 1770853939) is a healthcare organization registered as a community/behavioral health in Paducah, Kentucky and active in the NPI registry since January 2012. The organization lists Becky L Nastally, Owner, as its authorized official.

NPPES Registry Identity

NPI1770853939

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBLOOM BEHAVIOR THERAPY LLC

Location Address6201 BENTON RDPaducah, KY 42003-1304

Mailing Address6201 Benton RdPaducah, KY 42003-1304 · (270) 908-0461 · Fax (270) 366-0780

Phone(270) 908-0461

Fax(270) 366-0780

Organization SubpartNo

Authorized OfficialBecky L NastallyOwner · (270) 908-0461

Enumeration DateJanuary 5, 2012

Last NPPES UpdateJuly 8, 2021

NPPES CertifiedJuly 8, 2021

✔ NPI 1770853939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in KY · 800217

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedBehavior AnalystTaxonomy 103K00000X · License KY-0016 (KY)

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

6201 BENTON RD, Paducah, KY 42003

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

SAVANNAH DEESE

Behavior Technician