| The Bridge Youth And Family Counseling | |
|
14002 Garden Brook Ct Rosharon TX 77583-2066 | |
| (281) 536-5475 | |
| (281) 972-9328 |
| Full Name | The Bridge Youth And Family Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 14002 Garden Brook Ct, Rosharon, Texas |
| Authorized Official Name and Position | Sherrie Cook Young (ADMINISTRATOR) |
| Authorized Official Contact | 2815365475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Youth And Family Counseling Po Box 1494 Fresno TX 77545-1494 Ph: (281) 536-5475 | The Bridge Youth And Family Counseling 14002 Garden Brook Ct Rosharon TX 77583-2066 Ph: (281) 536-5475 |
| NPI Number | 1609141860 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609141860 | NPI | - | NPPES |
| TX | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 61830 (Texas) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00112953 (Texas) | Primary |
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