Organization
BRIDGE TO RESTORATION THERAPY SERVICES
Active
Organization
BRIDGE TO RESTORATION THERAPY SERVICES
Active
Other names
Bridge To Restoration Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HASINA J BANKSTON LMSW (OWNER)
(616) 885-2476
Entity
Organization
Contact information
Practice address
2920 FULLER AVE NE STE 208, GRAND RAPIDS, MI 49505-3458
(616) 885-2476
(616) 383-9009
Mailing address
3373 SANDYHOOK CT SE, KENTWOOD, MI 49512-5281
(616) 885-2476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
01/30/2026
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