Organization
BRIDGE2THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANA TEAGUE (CEO)
(404) 890-0832
Entity
Organization
Contact information
Practice address
290 M L K JR DR SE, ATLANTA, GA 30312-2160
(404) 890-0832
Mailing address
5415 SUGARLOAF PWKY, STE 1108/5856, LAWRENCEVILLE, GA 30043
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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