| Bridge To Mental Healing Llc | |
|
319 Clematis St Suite 316 West Palm Beach FL 33401-4608 | |
| (561) 307-5843 | |
| (561) 328-3441 |
| Full Name | Bridge To Mental Healing Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 319 Clematis St, West Palm Beach, Florida |
| Authorized Official Name and Position | Linnette Santos Robles (OWNER) |
| Authorized Official Contact | 5613075843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Mental Healing Llc 8129 Sedgewick Ct Apt. A West Palm Beach FL 33406-8472 Ph: (561) 307-5843 | Bridge To Mental Healing Llc 319 Clematis St Suite 316 West Palm Beach FL 33401-4608 Ph: (561) 307-5843 |
| NPI Number | 1649674029 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 05/25/2016 |
| Medicare PECOS PAC ID | 1759823248 |
|---|---|
| Medicare Enrollment ID | O20240612001902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH12636 (Florida) | Primary |
| Provider Name | Glorymar Birkeland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508315011 PECOS PAC ID: 2668914151 Enrollment ID: I20240612001994 |
| Provider Name | Linnette Santos Robles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679820039 PECOS PAC ID: 2860935772 Enrollment ID: I20240620001311 |
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