| Bridging Legacies Ii | |
|
1510 Rose Terrace Cir Loganville GA 30052-9041 | |
| (910) 467-6645 | |
| Not Available |
| Full Name | Bridging Legacies Ii |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1510 Rose Terrace Cir, Loganville, Georgia |
| Authorized Official Name and Position | Tiara Nicole Hedgepeth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9104676645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Legacies Ii 125 Killis Blvd Richlands NC 28574-6397 Ph: (910) 467-6645 | Bridging Legacies Ii 1510 Rose Terrace Cir Loganville GA 30052-9041 Ph: (910) 467-6645 |
| NPI Number | 1841760808 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841760808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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