| 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 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 | 1508582818 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 7214305671 |
|---|---|
| Medicare Enrollment ID | O20221116002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508582818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Sophia Morelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508212994 PECOS PAC ID: 7113341777 Enrollment ID: I20200716000586 |
| Provider Name | Caitlin Hollis Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144453358 PECOS PAC ID: 5698122752 Enrollment ID: I20231110000720 |
| Provider Name | Jason A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235989872 PECOS PAC ID: 6507205366 Enrollment ID: I20240412004128 |
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