Bridge Counseling Services LLC
Counselor, Professional in Phoenix, AZ. Organization (NPI-2).
NPI number1932091022
StatusActive
Last updated in NPPESJul 15, 2025
Details
- NPI
- 1932091022
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge Counseling Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2025
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
9520 W Palm Ln Ste 240Phoenix, AZ 85037-4448
Phone 623-289-1654
Mailing address
9520 W Palm Ln Ste 240Phoenix, AZ 85037-4448
Authorized official
Latonya Whitaker
Owner
6232891654
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