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Organization
BRIDGE TO INDEPENDENCE HEALTH SERVICES LLC
Active
Organization
BRIDGE TO INDEPENDENCE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELAUNDRA GIBSON PMHNP-BC (OWNER)
(313) 544-6503
Entity
Organization
Contact information
Practice address
7516 KINGS HOLLOW CT, TOLEDO, OH 43617-1656
(313) 544-6503
Mailing address
7516 KINGS HOLLOW CT, TOLEDO, OH 43617-1656
(313) 544-6503
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
07/15/2026
Last updated
10/06/2026
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