Bloom Wellness Collective, PLLC

Clinical Social Worker · Peoria Heights, IL

Organization Active NPI

NPI number 1376498345

Practice location

4541 N Prospect Rd Ste 302
Peoria Heights, IL 61616-6490
Phone
(708) 573-1955

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NPI record

NPI
1376498345
Entity type
Organization (Type 2)
Enumeration date
March 3, 2026
Last updated
May 6, 2026
Certified
May 6, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —
Professional Counselor 101YP2500X — —

Authorized official

Name
Devin Henderson, LCSW
Title
Member
Phone
(309) 267-6737

Other practice locations (1)

  • 100 Honey Locust Ave, East Peoria, IL 61611-1732 · (309) 267-6737

About Bloom Wellness Collective, PLLC

Bloom Wellness Collective, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 4541 N Prospect Rd Ste 302, Peoria Heights, IL 61616-6490. The NPI number 1376498345 was assigned on March 3, 2026 and the record was last updated on May 6, 2026.

The authorized official for this organization is Devin Henderson, LCSW, Member.

Frequently asked questions

What is the NPI number of Bloom Wellness Collective, PLLC?

The NPI number is 1376498345.

What is the phone number of Bloom Wellness Collective, PLLC?

The phone number listed for the practice location is (708) 573-1955.

Where is Bloom Wellness Collective, PLLC located?

4541 N Prospect Rd Ste 302, Peoria Heights, IL 61616-6490.

What is the taxonomy code for Bloom Wellness Collective, PLLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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