Organization
BRIDGING HOPE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI LYNN WALDOCH MA (LMFT)
(763) 291-5505
Entity
Organization
Contact information
Practice address
311 BRIGHTON AVE S, SUITE B, BUFFALO, MN 55313-2312
(763) 291-5505
(763) 657-0819
Mailing address
21000 ROGERS DR, SUITE 200, ROGERS, MN 55374-4652
(763) 291-5505
(763) 657-0819
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1894
MN
261QM0850X
Adult Mental Health Clinic/Center
1894
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1894
MN
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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