Bloom Integrative Wellness Center of South Lake, LLC
Bloom Integrative Wellness Center of South Lake, LLC is an Ambulatory Family Planning Facility in Dallas, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14114 Dallas Pkwy Ste 310Dallas, TX 75254-1315
Phone: (844) 864-8928
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X |
|---|---|
| Ambulatory Family Planning Facility | Taxonomy 261QA0005X |
Record details
| NPI number | 1033831227 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Reynolds — Ceo · (931) 980-1911 |
| Other names | Bloom Integrative Wellness Center |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | January 27, 2026 |
| Certification date | January 27, 2026 |
| Mailing address | 539 W Commerce St # 4488, Dallas, TX 75208-1953 |
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