Organization
BRIDGE TO HOLISTIC HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LEE MPA (CEO/OWNER)
(240) 767-6966
Entity
Organization
Contact information
Practice address
223 N PROSPECT ST STE 306, HAGERSTOWN, MD 21740-3783
(240) 767-6966
(301) 579-0037
Mailing address
223 N PROSPECT ST STE 306, HAGERSTOWN, MD 21740-3783
(240) 767-6966
(301) 579-0037
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/11/2021
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