Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bloomington Counseling and Wellness Services, LLC

Organization Clinical Psychologist · NPI 1265824122

Bloomington Counseling and Wellness Services, LLC is a Clinical Psychologist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
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

101 W Kirkwood Ave Ste 103
Bloomington, IN 47404-6134
Phone: (812) 633-9194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20042834A (IN)

Record details

NPI number1265824122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Quinby — Psychologist · (812) 633-9194
NPI enumeratedMarch 2, 2015
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address101 W Kirkwood Ave Ste 103, Bloomington, IN 47404-6134

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