Provider Demographics
NPI:1609666445
Name:BLOOMING MENTAL HEALTH LLC
Entity type:Organization
Organization Name:BLOOMING MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:218-303-7394
Mailing Address - Street 1:1675 CENTER AVE W STE E
Mailing Address - Street 2:
Mailing Address - City:DILWORTH
Mailing Address - State:MN
Mailing Address - Zip Code:56529-1346
Mailing Address - Country:US
Mailing Address - Phone:218-303-7394
Mailing Address - Fax:866-487-8936
Practice Address - Street 1:1675 CENTER AVE W STE E
Practice Address - Street 2:
Practice Address - City:DILWORTH
Practice Address - State:MN
Practice Address - Zip Code:56529-1346
Practice Address - Country:US
Practice Address - Phone:218-303-7394
Practice Address - Fax:866-487-8936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty