NPI 1124971205
Bloom Wellness LLC
Practice location
- Address
- 509 Scott Ave STE 2d, Woodland Park, CO 80863-1294
- Phone
- (719) 286-9077
- Fax
- (719) 431-6193
- Mailing address
- 417 Beaver Pond Rd, Divide, CO 80814-7792
Authorised official
- Name
- Laura Magnuson
- Title
- Owner, Clinician
- Phone
- (303) 408-8056
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1124971205
- Entity type
- Organization
- NPI issued
- 18 Feb 2026
- Record last updated
- 18 Feb 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.