| Bridges Community Services Inc | |
|
41197 Golden Gate Cir Ste 104 Murrieta CA 92562-6998 | |
| (951) 290-7210 | |
| Not Available |
| Full Name | Bridges Community Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 41197 Golden Gate Cir Ste 104, Murrieta, California |
| Authorized Official Name and Position | Hayley A Venard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9512907210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Community Services Inc 41197 Golden Gate Cir Ste 104 Murrieta CA 92562-6998 Ph: (951) 290-7210 | Bridges Community Services Inc 41197 Golden Gate Cir Ste 104 Murrieta CA 92562-6998 Ph: (951) 290-7210 |
| NPI Number | 1245009612 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 4688010127 |
|---|---|
| Medicare Enrollment ID | O20240307000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245009612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sujata Ghate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730848235 PECOS PAC ID: 1557710407 Enrollment ID: I20231218001766 |
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