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Organization

THE B.R.I.D.G.E COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAQUANDA WIGGINS CCTP, NCC, LPC (OWNER/THERAPIST)
(334) 245-3361
Entity
Organization

Contact information

Practice address
1775 TALIAFERRO TRL, MONTGOMERY, AL 36117-7758
(334) 245-3361
Mailing address
1775 TALIAFERRO TRL, MONTGOMERY, AL 36117-7758
(334) 245-3361
(334) 239-7716

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
01/16/2020
Last updated
11/28/2022
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