| Bridge Counseling Associates, Inc | |
|
1640 Alta Dr Ste 4 Las Vegas NV 89106-4165 | |
| (702) 474-6450 | |
| (702) 474-6463 |
| Full Name | Bridge Counseling Associates, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1640 Alta Dr Ste 4, Las Vegas, Nevada |
| Authorized Official Name and Position | Esther Flores (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7024746450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Counseling Associates, Inc 1640 Alta Dr Ste 4 Las Vegas NV 89106-4165 Ph: (702) 474-6450 | Bridge Counseling Associates, Inc 1640 Alta Dr Ste 4 Las Vegas NV 89106-4165 Ph: (702) 474-6450 |
| NPI Number | 1740728716 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 4486914975 |
|---|---|
| Medicare Enrollment ID | O20180131003106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740728716 | NPI | - | NPPES |
| 100535044 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | N35-00004 (Nevada) | Primary |
| Provider Name | Nabil M Jouni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790700201 PECOS PAC ID: 9931183100 Enrollment ID: I20040615001444 |
| Provider Name | Billy Escaba Leonardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588174361 PECOS PAC ID: 1759644586 Enrollment ID: I20180409002799 |
| Provider Name | Margreat T Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124504261 PECOS PAC ID: 7214281278 Enrollment ID: I20181112000954 |
| Provider Name | Shaista Pirzada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386200806 PECOS PAC ID: 4082942057 Enrollment ID: I20190829000441 |
| Provider Name | Colin Michael Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134645989 PECOS PAC ID: 1658600549 Enrollment ID: I20190830002142 |
| Provider Name | Chrystal B Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841593969 PECOS PAC ID: 5294150348 Enrollment ID: I20200806000555 |
| Provider Name | Maria D Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033781158 PECOS PAC ID: 2668878117 Enrollment ID: I20210908002253 |
| Provider Name | Irma Mandujano-torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962158642 PECOS PAC ID: 9638556939 Enrollment ID: I20220505002245 |
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