Organization
THEBRIDGE FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY M JOHNSON (AGENCY MANAGER)
(318) 600-6838
Entity
Organization
Contact information
Practice address
1900 N 18TH ST, MONROE, LA 71201-4432
(318) 600-6838
Mailing address
1900 N 18TH ST, MONROE, LA 71201-4432
(318) 600-6838
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/22/2015
Last updated
06/15/2023
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