| The Bridge Consulting Group, Llc | |
|
3790 Guess Rd Ste 102 Durham NC 27705-6916 | |
| (984) 244-8642 | |
| (919) 937-2046 |
| Full Name | The Bridge Consulting Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3790 Guess Rd Ste 102, Durham, North Carolina |
| Authorized Official Name and Position | Valencia Butler Church-williams (ABA DIRECTOR/CEO) |
| Authorized Official Contact | 9194918611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Consulting Group, Llc 3790 Guess Rd Ste 102 Durham NC 27705-6916 Ph: (984) 244-8642 | The Bridge Consulting Group, Llc 3790 Guess Rd Ste 102 Durham NC 27705-6916 Ph: (984) 244-8642 |
| NPI Number | 1942822127 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942822127 | NPI | - | NPPES |
| 10771 | Other | QUALIFIED APPLIED BEHAVIOR ANALYSIS CREDENTIALING BOARD (QABA) | |
| 2346 | Other | NC | NORTH CAROLINA PSYCHOLOGY BOARD |
| 11685 | Other | QUALIFIED AUTISM SERVICES PROVIDER-SUPERVISOR | |
| 1659 | Other | NC | NORTH CAROLINA PSYCHOLOGY BOARD |
| 0133002469 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS |
| A14394 | Other | NC | NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELOR |
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