| Bridges Community Services, Llc | |
|
1441 29th St Ste 115 West Des Moines IA 50266-1309 | |
| (515) 537-1065 | |
| Not Available |
| Full Name | Bridges Community Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1441 29th St Ste 115, West Des Moines, Iowa |
| Authorized Official Name and Position | Hayley Home Venard (DIRECTOR) |
| Authorized Official Contact | 5155371065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Community Services, Llc 1441 29th St Ste 115 West Des Moines IA 50266-1309 Ph: (515) 537-1065 | Bridges Community Services, Llc 1441 29th St Ste 115 West Des Moines IA 50266-1309 Ph: (515) 537-1065 |
| NPI Number | 1952966533 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 1254669112 |
|---|---|
| Medicare Enrollment ID | O20190830000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952966533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Timothy M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164854279 PECOS PAC ID: 5193948123 Enrollment ID: I20140521000083 |
| Provider Name | Lindsey Marie Hoodjer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912428970 PECOS PAC ID: 5496154619 Enrollment ID: I20210520001241 |
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