| Building A Bridge, Llc | |
|
101 Medical Dr Dothan AL 36303-6903 | |
| (334) 702-7222 | |
| (334) 702-1944 |
| Full Name | Building A Bridge, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 Medical Dr, Dothan, Alabama |
| Authorized Official Name and Position | Denise Cleveland (PRESIDENT) |
| Authorized Official Contact | 3347027222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building A Bridge, Llc 101 Medical Dr Dothan AL 36303-6903 Ph: (334) 702-7222 | Building A Bridge, Llc 101 Medical Dr Dothan AL 36303-6903 Ph: (334) 702-7222 |
| NPI Number | 1508278136 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508278136 | NPI | - | NPPES |
| 1043519739 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3655C (Alabama) | Primary |
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