| Bridges Professional Counseling And Consulting Llc | |
|
1549 West Broad Street Monticello MS 39654-7700 | |
| (601) 806-5065 | |
| (833) 207-2223 |
| Full Name | Bridges Professional Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 1549 West Broad Street, Monticello, Mississippi |
| Authorized Official Name and Position | Dwan Cole-bridges (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6012785569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Professional Counseling And Consulting Llc 2689 River Rd Silver Creek MS 39663-2469 Ph: () - | Bridges Professional Counseling And Consulting Llc 1549 West Broad Street Monticello MS 39654-7700 Ph: (601) 806-5065 |
| NPI Number | 1093376006 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 5092165340 |
|---|---|
| Medicare Enrollment ID | O20231228001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093376006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dwan Cole-bridges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730311408 PECOS PAC ID: 7719337062 Enrollment ID: I20231228001735 |
Caring Hands Behavioral Health And Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 Main St Ste B, Monticello, MS 39654 Phone: 601-587-4304 Fax: 601-587-4515 | |
S M Rm C Senior Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-249-1164 |