| Bridge Consulting Services Llc | |
|
4150 W Northern Ave Ste 160 4140 W Northern Ave Suite 3 Phoenix AZ 85051-5785 | |
| (623) 850-8764 | |
| Not Available |
| Full Name | Bridge Consulting Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4150 W Northern Ave Ste 160, Phoenix, Arizona |
| Authorized Official Name and Position | Latonya Whitaker (MANAGER/THERAPIST) |
| Authorized Official Contact | 6238508764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Consulting Services Llc 4140 W Northern Ave Ste 3 Phoenix AZ 85051-5793 Ph: () - | Bridge Consulting Services Llc 4150 W Northern Ave Ste 160 4140 W Northern Ave Suite 3 Phoenix AZ 85051-5785 Ph: (623) 850-8764 |
| NPI Number | 1629405337 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629405337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11290 (Arizona) | Primary |
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