Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Phoenix Bloom Family Foundation, Inc

Organization Marriage & Family Therapist · NPI 1013820992

Phoenix Bloom Family Foundation, Inc provides Marriage & Family Therapist services in Covington, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31 Hideaway Dr
Covington, KY 41017-9775
Phone: (859) 307-4540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Public Health or Welfare Agency Taxonomy 251K00000X

Record details

NPI number1013820992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Hacker — Director · (859) 307-4540
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address31 Hideaway Dr, Covington, KY 41017-9775

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