Organization
BRIDGE THE GAP ADDICTION AND MENTAL HEALTH SERVICES
Active
Other names
Bridge the Gap Addiction and Mental health Services
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL DELL PARRISH LCADC (CEO/OWNER)
(502) 417-2566
Entity
Organization
Contact information
Practice address
801 W BROADWAY, SUITE 5, LOUISVILLE, KY 40202
(502) 417-2566
(502) 305-6578
Mailing address
835 S 7TH STREET, 3452, LOUISVILLE, KY 40201
(502) 174-2566
(502) 305-6578
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1078
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041S0200X
School Social Worker
—
—
251B00000X
Case Management Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71004478660
—
KY
Enumeration date
02/09/2015
Last updated
12/20/2024
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