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

In Bloom Wellness PLLC

Organization Community/Behavioral Health Agency · NPI 1730867037

In Bloom Wellness PLLC is a Community/Behavioral Health Agency in Shelbyville, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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

215 W North 9th St
Shelbyville, IL 62565-1015
Phone: (765) 404-4002
Fax: (217) 615-1142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1730867037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradi Gordon — Owner · (765) 404-4002
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address215 W North 9th St, Shelbyville, IL 62565-1015

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