# SANDSTONE BRIDGE CENTER, LLC

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

## Provider details

- **NPI number:** 1982901724
- **Authorized official:** MRS. MINDY J NICHOLSON LCAC, LCMFT (OWNER)
- **Authorized official phone:** (785) 823-7400

## Contact information

- **Practice address:** 134 S SANTA FE AVE, SUITE 130, SALINA, KS 67401-2877
- **Practice address phone:** (785) 823-7400
- **Practice address fax:** (785) 823-7400
- **Mailing address:** 134 S SANTA FE AVE, SUITE 130, SALINA, KS 67401-2877
- **Mailing address phone:** (785) 823-7400
- **Mailing address fax:** (785) 823-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 403 | KS | — |
| 106H00000X | Marriage & Family Therapist | 854 | KS | Yes |

## Other

- **Enumeration date:** 02/14/2011
- **Last updated:** 07/12/2016
