BRIDGEWAY WELLNESS CENTER LLC NPI 1356969505

NPI Information

NPI: 1356969505
Provider Name: BRIDGEWAY WELLNESS CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
350 LINCOLN ST STE 2400
HINGHAM, MA
ZIP 02043
Phone: (617) 446-3705
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BRIDGEWAY WELLNESS CENTER LLC is a mental health counselor in Hingham, MA. BRIDGEWAY WELLNESS CENTER LLC NPI is 1356969505. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 LINCOLN ST STE 2400
HINGHAM, MA
ZIP 02043-579
Phone: (617) 446-3705

The provider's authorized official is Latanya Duncan .
The authorized official title is Co-owner/clinician and has the following contact phone number (617) 905-8183.

The enumeration date for this NPI number is 7/13/2020 and was last updated on 3/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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