| Bridge Of Hope Counseling | |
|
5258 S Eastern Ave 105 Las Vegas NV 89119-2326 | |
| (702) 464-5080 | |
| Not Available |
| Full Name | Bridge Of Hope Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5258 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Raymond Lavender (DIRECTOR OF CLIENT SERVICES) |
| Authorized Official Contact | 7024645080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Of Hope Counseling 5258 S Eastern Ave 105 Las Vegas NV 89119-2326 Ph: (702) 464-5080 | Bridge Of Hope Counseling 5258 S Eastern Ave 105 Las Vegas NV 89119-2326 Ph: (702) 464-5080 |
| NPI Number | 1417349127 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417349127 | NPI | - | NPPES |
| 1902198559 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20151113773 (Nevada) | Primary |
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