# THE BRIDGE GROUP OF ARIZONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811386287
- **Authorized official:** JULIE MADER (CEO/ADMINISTRATOR)
- **Authorized official phone:** (480) 459-9577

## Contact information

- **Practice address:** 1237 S VAL VISTA DR, MESA, AZ 85204-6401
- **Practice address phone:** (480) 776-3390
- **Practice address fax:** (480) 396-0532
- **Mailing address:** 1237 S VAL VISTA DR, MESA, AZ 85204-6401
- **Mailing address phone:** (480) 776-3390
- **Mailing address fax:** (602) 297-6830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 163WG0000X | General Practice Registered Nurse | — | NULL | Yes |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2015
- **Last updated:** 06/03/2026
