Nellie Bridgeforth
Counselor in Inglewood, CA. Individual provider (NPI-1).
NPI number1164546933
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164546933
- Entity type
- Individual (NPI-1)
- Name
- Nellie Bridgeforth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1007 Myrtle AveInglewood, CA 90301-4009
Phone 310-412-4191
Mailing address
4065 Wall StreetLos Angeles, CA 90011
Phone 323-231-3996
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 45 Counselor providers in Inglewood · All 2,158 providers in Inglewood
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