| Newlife Bridge Counseling Pllc | |
|
200 Flower Mound Rd Flower Mound TX 75028-3421 | |
| (972) 835-4610 | |
| Not Available |
| Full Name | Newlife Bridge Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 200 Flower Mound Rd, Flower Mound, Texas |
| Authorized Official Name and Position | Jason Jungsub Kim (DIRECTOR) |
| Authorized Official Contact | 9728354610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newlife Bridge Counseling Pllc 3304 El Dorado Dr Denton TX 76210-1218 Ph: (972) 835-4610 | Newlife Bridge Counseling Pllc 200 Flower Mound Rd Flower Mound TX 75028-3421 Ph: (972) 835-4610 |
| NPI Number | 1043688369 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043688369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 62816 (Texas) | Primary |
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