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COMMUNITY BRIDGES INC NPI 1801402417


NPI Information

NPI: 1801402417
Provider Name: COMMUNITY BRIDGES, INC
Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 22D2141306

Address:
720 COUNTY ST
NEW BEDFORD, MA
ZIP 02740
Phone: (586) 567-2090
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COMMUNITY BRIDGES, INC is a counselor in New Bedford, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. COMMUNITY BRIDGES, INC NPI is 1801402417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

720 COUNTY ST
NEW BEDFORD, MA
ZIP 02740-405
Phone: (586) 567-2090

The provider's authorized official is Carolyn Burke .
The authorized official title is President and has the following contact phone number (508) 656-7209.

The CLIA number assigned to this NPI record is 22D2141306 - other - outpatient treatment prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2020 and was last updated on 12/17/2020.


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
1101Y00000XCounselorYes
2101YM0800XCounselorMental HealthNo
3101YP1600XCounselorPastoralNo
4103TC1900XPsychologistCounselingNo
51041C0700XSocial WorkerClinicalNo

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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