Bridge Therapeutic Services PLLC
Social Worker, Clinical in Tyler, TX. Organization (NPI-2).
NPI number1174006084
StatusActive
Last updated in NPPESSep 7, 2018
Details
- NPI
- 1174006084
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge Therapeutic Services PLLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2018
- Last updated
- Sep 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Other names
- The Bridge Therapeutic Services PLLC (Other Name)
Practice location
3800 Paluxy Dr Ste 240Tyler, TX 75703-1667
Phone 903-283-8729 · Fax 888-454-9083
Mailing address
3800 Paluxy Dr Ste 240Tyler, TX 75703-1667
Phone 903-283-8729 · Fax 888-454-9083
Authorized official
Erin N Young
Partner/Provider
9032838729
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