Organization
MIND BRIDGE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA FULLER PMHNP (OWNER)
(347) 300-5858
Entity
Organization
Contact information
Practice address
445 PARK AVENUE FL 9, 90167, NEW YORK, NY 10022
(347) 300-5858
Mailing address
1102 GATES AVE, BROOKLYN, NY 11221-4304
(347) 300-5858
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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