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

Bloom Mental Wellness Center, LLC

Organization Psychiatric/Mental Health Registered Nurse · NPI 1053270967

Bloom Mental Wellness Center, LLC is a Psychiatric/Mental Health Registered Nurse in Milford, Massachusetts. Registered with an NPI since 2026.

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

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Practice location Address checks out

208 Main St Ste 110
Milford, MA 01757-2502
Phone: (508) 297-8603
Fax: (508) 484-6226
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X

Record details

NPI number1053270967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maurine Kisob — Executive Director · (508) 297-8603
NPI enumeratedJanuary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address208 Main St Ste 110, Milford, MA 01757-2502

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