| Bridge Builders Pastoral Counseling And Psychotherapy | |
|
5919 Oleander Dr Suite 104 Wilmington NC 28403-4780 | |
| (910) 792-9888 | |
| (910) 792-9883 |
| Full Name | Bridge Builders Pastoral Counseling And Psychotherapy |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5919 Oleander Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Douglas M Owen (PRESIDENT) |
| Authorized Official Contact | 9107929888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Builders Pastoral Counseling And Psychotherapy 5919 Oleander Dr Suite 104 Wilmington NC 28403-4780 Ph: (910) 792-9888 | Bridge Builders Pastoral Counseling And Psychotherapy 5919 Oleander Dr Suite 104 Wilmington NC 28403-4780 Ph: (910) 792-9888 |
| NPI Number | 1891749610 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891749610 | NPI | - | NPPES |
| 6006898 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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