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

Bloom Therapeutics PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1164342879

Bloom Therapeutics PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Sandy, Utah. 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.

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Practice location Address checks out

1782 E Mombo Dr
Sandy, UT 84092-3016
Phone: (801) 455-4667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1164342879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maran Bloomingdale — Owner · (801) 455-4667
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address1782 E Mombo Dr, Sandy, UT 84092-3016

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