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Active NPI 1760342380 Organization (Entity Type 2)

Fall Bloom, Llc

Nurse Practitioner - Psychiatric/Mental Health • Clinton, MI

About Fall Bloom, Llc NPI 1760342380 Summary

Fall Bloom, Llc is a verified healthcare organization specializing in Nurse Practitioner - Psychiatric/Mental Health operating in Clinton, MI. Located at 8759 CLINTON MACON RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1760342380.

Administrative operations and authorized compliance are overseen by Claudia Fall (Pmhnp-Bc).

Facility Location & Contact Primary Location

Facility Address

8759 Clinton Macon Rd

Clinton, MI 492369572

Telephone 5175522222

Authorized Official Information

Authorized Contact Name

Claudia Fall , PMHNP-BC

Title / Role

Pmhnp-Bc

Official Telephone

5175522222

Facility Classifications & Specialties

Nurse Practitioner - Psychiatric/Mental Health Primary Taxonomy

NUCC Taxonomy Code: 363LP0808X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active November 15, 2025

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2025

Registered at 8759 CLINTON MACON RD, CLINTON, MI 492369572 (Tel: 5175522222)

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Updated Business Mailing Address November 15, 2025

Registered at 8759 CLINTON MACON RD, CLINTON, MI 492369572 (Tel: 5175522222)

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Organization / Clinic Name Updated November 15, 2025

Operating as FALL BLOOM, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2025

Nurse Practitioner

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Initial NPI Registration & Enumeration November 15, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1760342380

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 15, 2025

Last Update: November 15, 2025

Update or Correct Listing

Mailing Address

8759 Clinton Macon Rd

Clinton, MI 492369572

Phone: 5175522222

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.