| Bridge To Wellness Centers, Llc | |
|
1934 Old Gallows Rd Ste 360 Vienna VA 22182-4040 | |
| (703) 752-6181 | |
| Not Available |
| Full Name | Bridge To Wellness Centers, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1934 Old Gallows Rd Ste 360, Vienna, Virginia |
| Authorized Official Name and Position | Gail Leslie Grandela (OWNER) |
| Authorized Official Contact | 7577487620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Wellness Centers, Llc 1934 Old Gallows Rd Ste 360 Vienna VA 22182-4040 Ph: (703) 752-6181 | Bridge To Wellness Centers, Llc 1934 Old Gallows Rd Ste 360 Vienna VA 22182-4040 Ph: (703) 752-6181 |
| NPI Number | 1427608124 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427608124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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