| Bridges Behavioral Health Llc | |
|
16810 N Dartmouth Ave Nampa ID 83687-3028 | |
| (208) 794-6904 | |
| Not Available |
| Full Name | Bridges Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 16810 N Dartmouth Ave, Nampa, Idaho |
| Authorized Official Name and Position | Jamie L Williams (CO-OWNER) |
| Authorized Official Contact | 2086152201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Behavioral Health Llc 16810 N Dartmouth Ave Nampa ID 83687-3028 Ph: (208) 794-6904 | Bridges Behavioral Health Llc 16810 N Dartmouth Ave Nampa ID 83687-3028 Ph: (208) 794-6904 |
| NPI Number | 1437761491 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Medicare PECOS PAC ID | 2365855095 |
|---|---|
| Medicare Enrollment ID | O20210119001338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437761491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jamie L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932532967 PECOS PAC ID: 9638469539 Enrollment ID: I20160606001505 |
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