BRIDGING SEVENTEEN COUNSELING CENTER LLC NPI 1518487404

NPI Information

BRIDGING SEVENTEEN COUNSELING CENTER, LLC is an adolescent and children mental health clinic center in Augusta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. BRIDGING SEVENTEEN COUNSELING CENTER, LLC NPI is 1518487404. The provider is registered as an organization entity type.

The provider's business location address is:

3108 PEACH ORCHARD RD #6419
AUGUSTA, GA
ZIP 30909-090
Phone: (706) 496-1010
Fax: (877) 496-4637

The provider's authorized official is Terri Vernese Jenkins .
The authorized official title is Executive Director and has the following contact phone number (706) 496-1010.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 6/22/2017.

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:

Other Identifiers

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

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