Organization
BRIDGE TO WELLNESS, LLC
Active
Other names
Bridge to Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DAVILA LICSW (CLINICAL SOCIAL WORKER)
(774) 488-0049
Entity
Organization
Contact information
Practice address
172 WILLIAM ST, NEW BEDFORD, MA 02740-6052
(774) 488-0049
Mailing address
235 CHAVENSON ST, FALL RIVER, MA 02723-2701
(774) 488-0049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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