| Bridging The Gap Holistic Services, Llc | |
|
3238 Village Dr Fairfield OH 45014-8119 | |
| (513) 884-2414 | |
| Not Available |
| Full Name | Bridging The Gap Holistic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3238 Village Dr, Fairfield, Ohio |
| Authorized Official Name and Position | Mariella Richardson (THERAPIST) |
| Authorized Official Contact | 5138842414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging The Gap Holistic Services, Llc 3238 Village Dr Fairfield OH 45014-8119 Ph: () - | Bridging The Gap Holistic Services, Llc 3238 Village Dr Fairfield OH 45014-8119 Ph: (513) 884-2414 |
| NPI Number | 1184071714 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184071714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I. 1000213-SUPV (Ohio) | Primary |
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