| Bridging The Gap , Llc | |
|
1829 Wrightsboro Rd Augusta GA 30904-2010 | |
| (706) 399-2628 | |
| Not Available |
| Full Name | Bridging The Gap , Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1829 Wrightsboro Rd, Augusta, Georgia |
| Authorized Official Name and Position | Wanda Lashelle Sanfers (CEO) |
| Authorized Official Contact | 7063992628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging The Gap , Llc 1829 Wrightsboro Rd Augusta GA 30904-2010 Ph: () - | Bridging The Gap , Llc 1829 Wrightsboro Rd Augusta GA 30904-2010 Ph: (706) 399-2628 |
| NPI Number | 1134750847 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134750847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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