| Bridge Counseling And Therapy Center, Llc | |
|
32 Bridgeville Rd Georgetown DE 19947-2106 | |
| (302) 856-9190 | |
| (302) 856-9133 |
| Full Name | Bridge Counseling And Therapy Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 32 Bridgeville Rd, Georgetown, Delaware |
| Authorized Official Name and Position | Joel A Vanini (DIRECTOR) |
| Authorized Official Contact | 3028569190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Counseling And Therapy Center, Llc 32 Bridgeville Rd Georgetown DE 19947-2106 Ph: (302) 856-9190 | Bridge Counseling And Therapy Center, Llc 32 Bridgeville Rd Georgetown DE 19947-2106 Ph: (302) 856-9190 |
| NPI Number | 1073616678 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 2365545589 |
|---|---|
| Medicare Enrollment ID | O20090114000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073616678 | NPI | - | NPPES |
| 1000032299 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q100000281 (Delaware) | Primary |
| Provider Name | Joel A Vanini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942393491 PECOS PAC ID: 6305909516 Enrollment ID: I20090114000685 |
| Provider Name | Derek W Hopler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902953052 PECOS PAC ID: 3173962750 Enrollment ID: I20240416000271 |
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