| Bridge The Gap Addiction And Mental Health Services | |
|
801 W Broadway, Suite 5 Louisville KY 40202 | |
| (502) 417-2566 | |
| (502) 305-6578 |
| Full Name | Bridge The Gap Addiction And Mental Health Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 801 W Broadway, Suite 5, Louisville, Kentucky |
| Authorized Official Name and Position | Hazel Dell Parrish (CEO/OWNER) |
| Authorized Official Contact | 5024172566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge The Gap Addiction And Mental Health Services 835 S 7th Street 3452 Louisville KY 40201 Ph: (502) 174-2566 | Bridge The Gap Addiction And Mental Health Services 801 W Broadway, Suite 5 Louisville KY 40202 Ph: (502) 417-2566 |
| NPI Number | 1639560915 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 11/22/2023 |
| Certification Date | 06/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639560915 | NPI | - | NPPES |
| 71004478660 | Medicaid | KY |
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