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BRIDGE TO AWARENESS COUNSELING CENTER NPI 1043455769


NPI Information

NPI: 1043455769
Provider Name: BRIDGE TO AWARENESS COUNSELING CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
5698 S HWY 85
SUITE 104
COLORADO SPRINGS, CO
ZIP 80911
Phone: (719) 390-4652
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BRIDGE TO AWARENESS COUNSELING CENTER is an addiction (substance use disorder) counselor in Colorado Springs, CO. BRIDGE TO AWARENESS COUNSELING CENTER NPI is 1043455769. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5698 S HWY 85
SUITE 104
COLORADO SPRINGS, CO
ZIP 80911-465
Phone: (719) 390-4652
Fax: (719) 690-4126

The provider's authorized official is Steve Darr .
The authorized official title is Director and has the following contact phone number (719) 471-2514.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 9/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1110-01COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
139558258MEDICAIDCOLORADO

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

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