Organization
BRIDGE COUNSELING ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER FLORES (CREDENTIALING SPECIALIST)
(702) 474-6450
Entity
Organization
Contact information
Practice address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 800-8275
Mailing address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 800-8275
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005204-062-101
—
NV
Enumeration date
01/28/2019
Last updated
04/01/2024
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