| Mahogany Bridges Mental Health Services Llc | |
|
2555 S Dixie Dr Ste 102 Dayton OH 45409-1532 | |
| (937) 342-3955 | |
| Not Available |
| Full Name | Mahogany Bridges Mental Health Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2555 S Dixie Dr Ste 102, Dayton, Ohio |
| Authorized Official Name and Position | Marquita Lashawn Thompson (CEO) |
| Authorized Official Contact | 9373423955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahogany Bridges Mental Health Services Llc 1985 Henderson Rd Ste 1750 Columbus OH 43220-2401 Ph: () - | Mahogany Bridges Mental Health Services Llc 2555 S Dixie Dr Ste 102 Dayton OH 45409-1532 Ph: (937) 342-3955 |
| NPI Number | 1699511162 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699511162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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