Provider Demographics
NPI:1184518839
Name:SLOW BLOOM THERAPY PLLC
Entity type:Organization
Organization Name:SLOW BLOOM THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSTIC
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:850-982-4546
Mailing Address - Street 1:2625 REDWING RD UNIT 225
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6313
Mailing Address - Country:US
Mailing Address - Phone:850-982-4546
Mailing Address - Fax:
Practice Address - Street 1:2625 REDWING RD UNIT 225
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6313
Practice Address - Country:US
Practice Address - Phone:850-982-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty