BRIDGE TO AWARENESS COUNSELING CENTER INC NPI 1447389382

NPI Information

NPI: 1447389382
Provider Name: BRIDGE TO AWARENESS COUNSELING CENTER, INC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
129 W COSTILLA ST
COLORADO SPRINGS, CO
ZIP 80903
Phone: (719) 471-2514
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BRIDGE TO AWARENESS COUNSELING CENTER, INC is an addiction (substance use disorder) counselor in Colorado Springs, CO. BRIDGE TO AWARENESS COUNSELING CENTER, INC NPI is 1447389382. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

129 W COSTILLA ST
COLORADO SPRINGS, CO
ZIP 80903-813
Phone: (719) 471-2514

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

The enumeration date for this NPI number is 3/5/2007 and was last updated on 9/29/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1110-00	COLORADO	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	95527338	MEDICAID	COLORADO

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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