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

Bloom Family Services Nfp

Organization Adult Mental Health Clinic/Center · NPI 1619809738

Bloom Family Services Nfp is an Adult Mental Health Clinic/Center in Maywood, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

1701 S 1st Ave Ste 204C
Maywood, IL 60153-2400
Phone: (773) 676-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1619809738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakita Kent — Executive Director · (773) 676-9600
NPI enumeratedJune 2, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1701 S 1st Ave Ste 204c, Maywood, IL 60153-2400

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