1003448051 NPI number — BRANDON ZAHL BLOOM LMHC

Table of content: BRANDON ZAHL BLOOM LMHC (NPI 1003448051)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003448051 NPI number — BRANDON ZAHL BLOOM LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BLOOM
Provider First Name:
BRANDON
Provider Middle Name:
ZAHL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZAHL
Provider Other First Name:
BRANDON
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1003448051
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/21/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3213 W WHEELER ST # 1191
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98199-3245
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-413-8131
Provider Business Mailing Address Fax Number:
206-474-3327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3213 W WHEELER ST # 1191
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98199-3245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-413-8131
Provider Business Practice Location Address Fax Number:
206-474-3327
Provider Enumeration Date:
02/07/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)