| Bridges To Wellbeing Llc | |
|
1656 Ross Ln Ashland OR 97520-3429 | |
| (707) 623-6911 | |
| Not Available |
| Full Name | Bridges To Wellbeing Llc |
|---|---|
| Speciality | Counselor |
| Location | 1656 Ross Ln, Ashland, Oregon |
| Authorized Official Name and Position | Alicia Schmidt (CO-FOUNDER/THERAPIST) |
| Authorized Official Contact | 7076236911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges To Wellbeing Llc 1656 Ross Ln Ashland OR 97520-3429 Ph: (707) 623-6911 | Bridges To Wellbeing Llc 1656 Ross Ln Ashland OR 97520-3429 Ph: (707) 623-6911 |
| NPI Number | 1710570783 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 1951785054 |
|---|---|
| Medicare Enrollment ID | O20220908000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710570783 | NPI | - | NPPES |
| 500698173 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alicia Mangiaracina Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467844100 PECOS PAC ID: 8820420383 Enrollment ID: I20220913000706 |
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