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

Bloom Pediatric Therapy LLC

Organization Behavior Analyst · NPI 1619674124

Bloom Pediatric Therapy LLC is a Behavior Analyst in Griffin, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
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

14557 Highway 19 Ste C
Griffin, GA 30224-9582
Phone: (678) 967-1924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1619674124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Hurd — President · (678) 967-1924
NPI enumeratedFebruary 14, 2023
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address136 Main St, Milner, GA 30257-3844

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