OrganizationBloom Space Counseling, PllcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address315 S Peoria Ave, Dixon, IL 61021-2956(815) 677-6280PECOS EnrollmentBased on the most recent information from CMS, provider Bloom Space Counseling, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376222984Provider TypeOrganizationFull NameBloom Space Counseling, PllcSubpartNoEnumeration Date7/12/2023Last Updated7/12/2023Contact InformationPractice LocationPractice Address315 S Peoria Ave, Dixon, IL 61021-2956Phone(815) 677-6280FaxUnlisted FaxMailing LocationMailing Address446 River Bluff Dr, Dixon, IL 61021-8768Phone(815) 677-6280FaxUnlisted FaxAuthorized OfficialNameWest, Jessica (Owner/Operator)Phone(815) 677-6280Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer