Brianna Elaina Bloom
Brianna Elaina Bloom is a Mental Health Counselor in Vinita, Oklahoma. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
405 E Excelsior AveVinita, OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1619647427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2021 |
| Last updated in NPPES | September 14, 2021 |
| Certification date | September 14, 2021 |
| Mailing address | 405 E Excelsior Ave, Vinita, OK 74301-4226 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Group practice | Grand Lake Mental Health Center, Inc. — 120 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Vinita
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Mrs. Jada Shanel Alexander
405 E Excelsior Ave, Vinita, OK 74301-4226 · (918) 256-6476
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Billy Joe Bowers Jr.
405 E Excelsior, Vinita, OK 74301 · (918) 256-6476
-
Chrystal Brassfield, MS
405 E Excelsior Ave, Vinita, OK 74301-4226 · (918) 256-6476
-
Jonathan Brodrick
405 E Excelsior Ave, Vinita, OK 74301-4226 · (918) 256-6476
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Carrie Bunnell
405 E Excelsior Ave, Vinita, OK 74301-4226 · (918) 256-6476