| The B.r.i.d.g.e Counseling Center, Llc | |
|
1775 Taliaferro Trl Montgomery AL 36117-7758 | |
| (334) 245-3361 | |
| Not Available |
| Full Name | The B.r.i.d.g.e Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1775 Taliaferro Trl, Montgomery, Alabama |
| Authorized Official Name and Position | Laquanda Wiggins (OWNER/THERAPIST) |
| Authorized Official Contact | 3342453361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The B.r.i.d.g.e Counseling Center, Llc 1775 Taliaferro Trl Montgomery AL 36117-7758 Ph: (334) 245-3361 | The B.r.i.d.g.e Counseling Center, Llc 1775 Taliaferro Trl Montgomery AL 36117-7758 Ph: (334) 245-3361 |
| NPI Number | 1467082651 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467082651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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