Organization
BRIDGES BEHAVIORAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA GINNS PHD, BCBA-D (OWNER/PROVIDER)
(813) 498-4301
Entity
Organization
Contact information
Practice address
2746 N FLORIDA AVE, TAMPA, FL 33602-1522
(813) 498-4301
Mailing address
1207 E GIDDENS AVE, TAMPA, FL 33603-2422
(714) 350-7884
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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