| Bridge To Hope Counseling, Llc | |
|
1012 Ekstam Dr Ste 3 Bloomington IL 61704-6383 | |
| (309) 455-5703 | |
| Not Available |
| Full Name | Bridge To Hope Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1012 Ekstam Dr Ste 3, Bloomington, Illinois |
| Authorized Official Name and Position | Kimberly Moustoukkis (LICENSED THERAPIST) |
| Authorized Official Contact | 3094555703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Hope Counseling, Llc 1012 Ekstam Dr Ste 3 Bloomington IL 61704-6383 Ph: (309) 455-5703 | Bridge To Hope Counseling, Llc 1012 Ekstam Dr Ste 3 Bloomington IL 61704-6383 Ph: (309) 455-5703 |
| NPI Number | 1467925768 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467925768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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