Bridge Of Hope Wellness Llc | |
1001 Main Street Suite A Fair Bluff NC 28439 | |
(910) 632-0234 | |
Not Available |
Full Name | Bridge Of Hope Wellness Llc |
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Speciality | Counselor - Mental Health |
Location | 1001 Main Street, Fair Bluff, North Carolina |
Authorized Official Name and Position | O'dell Graham (OWNER) |
Authorized Official Contact | 9102976430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bridge Of Hope Wellness Llc 47 Combine Ln Se Leland NC 28451-9651 Ph: (910) 297-6430 | Bridge Of Hope Wellness Llc 1001 Main Street Suite A Fair Bluff NC 28439 Ph: (910) 632-0234 |
NPI Number | 1154156222 |
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Provider Enumeration Date | 09/06/2024 |
Last Update Date | 09/06/2024 |
Certification Date | 09/06/2024 |
Identifier | Type | State | Issuer |
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1154156222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Hope Advancement Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 684 Main Street, Fair Bluff, NC 28439 Phone: 910-649-7318 |