Organization
BRIDGE TO WELLNESS CENTERS, LLC
Active
Other names
Bridge to Wellness Centers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL LESLIE GRANDELA LPC (OWNER)
(757) 748-7620
Entity
Organization
Contact information
Practice address
1934 OLD GALLOWS RD STE 360, VIENNA, VA 22182-4040
(703) 752-6181
Mailing address
1934 OLD GALLOWS RD STE 360, VIENNA, VA 22182-4040
(703) 752-6181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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