Organization
BRIDGE OF CHANGES, LLC
Active
Other names
Bridge of Changes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA IVETTE SANTANA LICSW (CEO)
(413) 885-3965
Entity
Organization
Contact information
Practice address
1985 MAIN ST STE 305, SPRINGFIELD, MA 01103-1074
(413) 301-6625
(413) 301-6825
Mailing address
1985 MAIN ST STE 305, SPRINGFIELD, MA 01103-1074
(413) 885-3965
(413) 301-6825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
04/24/2025
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