| Southern Bridge Counseling, Llc | |
|
3100 Moody Rd Ste. A Bonaire GA 31005 | |
| (478) 449-1475 | |
| (888) 813-6815 |
| Full Name | Southern Bridge Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3100 Moody Rd, Bonaire, Georgia |
| Authorized Official Name and Position | Neva Evans (CO-OWNER) |
| Authorized Official Contact | 4782838322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Bridge Counseling, Llc 3100 Moody Rd Ste. A Bonaire GA 31005 Ph: (478) 449-1475 | Southern Bridge Counseling, Llc 3100 Moody Rd Ste. A Bonaire GA 31005 Ph: (478) 449-1475 |
| NPI Number | 1891156758 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891156758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Double Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Gray Fox Xing, Bonaire, GA 31005 Phone: 478-955-2699 |