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

Lumen Bloom Therapy, PLLC

Organization Clinical Social Worker · NPI 1184514077

Lumen Bloom Therapy, PLLC is a Clinical Social Worker in Bloomington, Illinois. Registered with an NPI since 2025.

In the registry since
2025
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

203 Leland St
Bloomington, IL 61701-5643
Phone: (815) 324-4770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1184514077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Cox — Member/Owner · (773) 620-6695
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address203 Leland St, Bloomington, IL 61701-5643

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