BRIDGES HABILITATION SERVICES INC. NPI 1447673678

NPI Information

NPI: 1447673678
Provider Name: BRIDGES HABILITATION SERVICES, INC.

Doing Business As: BRIDGES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
400 S KENDRICK AVE
SUITE 101
GILLETTE, WY
ZIP 82716
Phone: (307) 682-1261
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BRIDGES HABILITATION SERVICES, INC. is a professional counselor in Gillette, WY. BRIDGES HABILITATION SERVICES, INC. NPI is 1447673678. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bridges.

The provider's business location address is:

400 S KENDRICK AVE
SUITE 101
GILLETTE, WY
ZIP 82716-848
Phone: (307) 682-1261

The provider's authorized official is David M Canen .
The authorized official title is Ceo and has the following contact phone number (307) 789-0664.

The enumeration date for this NPI number is 1/23/2014 and was last updated on 10/13/2015.

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	101YP2500X	Counselor	Professional	LPC-1336	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1245305804	MEDICAID	WYOMING

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: 4/28/2024

NPI Synchronization or Removal

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