Organization
BRIDGE CLINICS BEHAVIORAL HEALTH LLC
Active
Other names
Bridge Clinics Behavioral Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATIFAT A. OYEKOLA MD (OWNER)
(317) 495-5173
Entity
Organization
Contact information
Practice address
3702 E 10TH ST, INDIANAPOLIS, IN 46201-2554
(317) 757-2563
(317) 405-9970
Mailing address
6357 ROCKVILLE RD, INDIANAPOLIS, IN 46214-3920
(317) 757-2563
(317) 405-9970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
03/08/2021
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