Organization
FIVE BRIDGES COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR DAHL LPC (REGISTERED AGENT)
(804) 241-4931
Entity
Organization
Contact information
Practice address
2415 BARTON AVE, RICHMOND, VA 23222-4415
(804) 241-4931
Mailing address
701 E FRANKLIN STREET, SUITE 105 #1367, RICHMOND, VA 23219
(804) 241-4931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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