NPI 1548977796

Bloom Therapy Center, LLC

Organisation Early Intervention Provider Agency Clarksville, TN

Practice location

Address: 1515 Barrywood Cir W, Clarksville, TN 37042-8554
Phone: (985) 634-0615

Authorised official

Name: Charity Marie Bankston
Title: Behavior Analyst
Phone: (985) 634-0615

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Tennessee →

Registry record

NPI: 1548977796
Entity type: Organization
NPI issued: 27 Oct 2022
Record last updated: 27 Oct 2022

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.