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Organization

THE BRIDGE HEALTH COLLECTIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA RUSSELL PHD (OWNER)
(505) 305-0783
Entity
Organization

Contact information

Practice address
1639 W STEVANNA WAY, FLAGSTAFF, AZ 86001-1155
(505) 305-0783
Mailing address
1639 W STEVANNA WAY, FLAGSTAFF, AZ 86001-1155

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary

Other

Enumeration date
11/10/2025
Last updated
03/03/2026
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