Organization
BRIDGED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE AISSA DAVID LPC, LCDC, CEDS (OWNER)
(214) 274-1409
Entity
Organization
Contact information
Practice address
202 S AUSTIN DR # 8, ALLEN, TX 75013-2736
(214) 444-3620
Mailing address
202 S AUSTIN DR # 8, ALLEN, TX 75013-2736
(214) 444-3620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
03/22/2022
Last updated
01/08/2025
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