| Family Bridges Therapeutic Associates Llc | |
|
635 S Hazard St Georgetown SC 29440-4728 | |
| (843) 249-1781 | |
| (360) 364-3499 |
| Full Name | Family Bridges Therapeutic Associates Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 635 S Hazard St, Georgetown, South Carolina |
| Authorized Official Name and Position | Michael J Mangin (OFFICE MANAGER) |
| Authorized Official Contact | 8432401781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Bridges Therapeutic Associates Llc 635 S Hazard St Georgetown SC 29440-4728 Ph: (843) 240-1781 | Family Bridges Therapeutic Associates Llc 635 S Hazard St Georgetown SC 29440-4728 Ph: (843) 249-1781 |
| NPI Number | 1396706818 |
|---|---|
| Provider Enumeration Date | 04/01/2006 |
| Last Update Date | 06/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396706818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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