Organization
BRIDGES FOR L.I.F.E. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET L TATE (EXCUTIVE MANAGER/OWNER)
(901) 517-3406
Entity
Organization
Contact information
Practice address
156 BELLVUE AVENUE, MEMPHIS, TN 38104-0334
(901) 517-3406
Mailing address
PO BOX 334, MEMPHIS, TN 38101-0334
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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