Bridges | |
6501 Cypress Point Way Ne Albuquerque NM 87111-6411 | |
(505) 379-1550 | |
(800) 714-4705 |
Full Name | Bridges |
---|---|
Speciality | Counselor - Mental Health |
Location | 6501 Cypress Point Way Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Stacy Ertle (OWNER) |
Authorized Official Contact | 5053791550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridges 6501 Cypress Point Way Ne Albuquerque NM 87111-6411 Ph: (505) 379-1550 | Bridges 6501 Cypress Point Way Ne Albuquerque NM 87111-6411 Ph: (505) 379-1550 |
NPI Number | 1811188360 |
---|---|
Provider Enumeration Date | 08/08/2007 |
Last Update Date | 06/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811188360 | NPI | - | NPPES |
22306854 | Medicaid | NM | |
VNM01024 | Other | NM | VALUE OPTIONS OF NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0084951 (New Mexico) | Primary |
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