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

Larissa Joelle Bloom, LASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568098846

Larissa Joelle Bloom, LASAC is an Addiction (Substance Use Disorder) Counselor in Sacaton, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone: (602) 528-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LASAC-15335 (AZ)

Record details

NPI number1568098846
Entity typeIndividual (Type 1)
GenderFemale
Credentials LASAC
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020

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