Provider Demographics
NPI:1396629416
Name:BLOOMING MINDS THERAPY LLC
Entity type:Organization
Organization Name:BLOOMING MINDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PITRE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:985-249-8868
Mailing Address - Street 1:4955 W NAPOLEON AVE # 3013
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2249
Mailing Address - Country:US
Mailing Address - Phone:985-249-8868
Mailing Address - Fax:
Practice Address - Street 1:117 CHINCHUBA GDNS
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3261
Practice Address - Country:US
Practice Address - Phone:985-249-8868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health