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Organization
BRIDGE CLINICS BEHAVIORAL HEALTH LLC
Active
Organization
BRIDGE CLINICS BEHAVIORAL HEALTH LLC
Active
Other names
Bridge Clinics Behavioral Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATIFAT A. OYEKOLA MD (OWNER)
(317) 495-5173
Entity
Organization
Contact information
Practice address
3702 E 10TH ST, INDIANAPOLIS, IN 46201-2554
(317) 757-2563
(317) 405-9970
Mailing address
6357 ROCKVILLE RD, INDIANAPOLIS, IN 46214-3920
(317) 757-2563
(317) 405-9970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/19/2020
Last updated
06/04/2026
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