| Bridge Over Barriers Counseling Llc | |
|
2639 Bridgewater Dr Grand Prairie TX 75054-7229 | |
| (214) 604-6724 | |
| Not Available |
| Full Name | Bridge Over Barriers Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2639 Bridgewater Dr, Grand Prairie, Texas |
| Authorized Official Name and Position | Eboni Samuel (CEO/OWNER) |
| Authorized Official Contact | 2146046724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Over Barriers Counseling Llc 2639 Bridgewater Dr Grand Prairie TX 75054-7229 Ph: () - | Bridge Over Barriers Counseling Llc 2639 Bridgewater Dr Grand Prairie TX 75054-7229 Ph: (214) 604-6724 |
| NPI Number | 1730894643 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730894643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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