Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Connect & Wellness Center PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1578416137

Bloom Connect & Wellness Center PLLC is a Psychiatric/Mental Health Nurse Practitioner in Manassas, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10562 Tattersall Dr
Manassas, VA 20112-2407
Phone: (571) 518-8036
Fax: (540) 208-1679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1578416137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Mbuen — Ceo/Founder · (336) 740-6347
NPI enumeratedFebruary 16, 2026
Last updated in NPPESMarch 7, 2026
Certification dateMarch 7, 2026
Mailing address4102 Parapet Ct, Fredericksburg, VA 22408-2564

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