# BRIDGES FAMILY LIFE CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridges Family Life Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730628157
- **Authorized official:** MRS. JANELLE A JOHNSON LMFT (CEO)
- **Authorized official phone:** (919) 813-0352

## Contact information

- **Practice address:** 401 AVERSBORO RD, STE 100, GARNER, NC 27529-3633
- **Practice address phone:** (919) 813-0352
- **Mailing address:** 401 AVERSBORO RD, STE 100, GARNER, NC 27529-3633
- **Mailing address phone:** (919) 813-0352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1799 | NC | Yes |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 02/17/2017
