| Bridges Community Support Services | |
|
3155 Sutton Blvd Ste 201 Maplewood MO 63143-3917 | |
| (314) 781-7900 | |
| (314) 781-7914 |
| Full Name | Bridges Community Support Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3155 Sutton Blvd Ste 201, Maplewood, Missouri |
| Authorized Official Name and Position | Barry J Larson (PRESIDENT) |
| Authorized Official Contact | 3147817900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Community Support Services 3155 Sutton Blvd Ste 201 Maplewood MO 63143-3917 Ph: (314) 781-7900 | Bridges Community Support Services 3155 Sutton Blvd Ste 201 Maplewood MO 63143-3917 Ph: (314) 781-7900 |
| NPI Number | 1427226612 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427226612 | NPI | - | NPPES |
| 503292203 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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