Organization
THE BRIDGE YOUTH & FAMILY COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN COSEN (OWNER)
(870) 270-8796
Entity
Organization
Contact information
Practice address
5384 SAVANNAH PKWY, SOUTHAVEN, MS 38672-7515
(870) 270-8796
Mailing address
PO BOX 2182, SOUTHAVEN, MS 38671-2201
(713) 582-2836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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