Provider Demographics
NPI:1881573020
Name:BRIDGE & BLOOM THERAPY AND CONSULTING PLLC
Entity type:Organization
Organization Name:BRIDGE & BLOOM THERAPY AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:MASK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:731-819-0664
Mailing Address - Street 1:52 NASHUA ST STE 123
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3717
Mailing Address - Country:US
Mailing Address - Phone:978-743-9581
Mailing Address - Fax:
Practice Address - Street 1:122 COBURN WOODS DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-2844
Practice Address - Country:US
Practice Address - Phone:731-819-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty