| Building Bridges Family Therapy, Ltd. | |
|
3805 Nw Territory Dr Springfield IL 62711-8241 | |
| (217) 370-9866 | |
| Not Available |
| Full Name | Building Bridges Family Therapy, Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 3805 Nw Territory Dr, Springfield, Illinois |
| Authorized Official Name and Position | Angela F Trowbridge (OWNER) |
| Authorized Official Contact | 2173709866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Bridges Family Therapy, Ltd. 3805 Nw Territory Dr Springfield IL 62711-8241 Ph: (217) 370-9866 | Building Bridges Family Therapy, Ltd. 3805 Nw Territory Dr Springfield IL 62711-8241 Ph: (217) 370-9866 |
| NPI Number | 1518464569 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 11/20/2019 |
| Medicare PECOS PAC ID | 5193157584 |
|---|---|
| Medicare Enrollment ID | O20191125001183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518464569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela F Trowbridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326466996 PECOS PAC ID: 9931323110 Enrollment ID: I20140609001430 |
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