| Bridges Behavioral Therapy, Llc | |
|
5840 Whippoorwill Cir Westlake FL 33470-6509 | |
| (954) 534-3392 | |
| Not Available |
| Full Name | Bridges Behavioral Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5840 Whippoorwill Cir, Westlake, Florida |
| Authorized Official Name and Position | Krystal Lexima (PRESIDENT) |
| Authorized Official Contact | 9545343392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Behavioral Therapy, Llc 5840 Whippoorwill Cir Westlake FL 33470-6509 Ph: (954) 534-3392 | Bridges Behavioral Therapy, Llc 5840 Whippoorwill Cir Westlake FL 33470-6509 Ph: (954) 534-3392 |
| NPI Number | 1750847935 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750847935 | NPI | - | NPPES |
| 012453300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
Influential Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5411 Starfish Rd, Westlake, FL 33470 Phone: 561-914-4005 |