Organization
PROJECT EMBER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BRIDGMAN LMFT (OWNER/PRESIDENT)
(719) 246-5693
Entity
Organization
Contact information
Practice address
4360 MONTEBELLO DR STE 400, COLORADO SPRINGS, CO 80918-7224
(719) 246-5693
Mailing address
4360 MONTEBELLO DR STE 400, COLORADO SPRINGS, CO 80918-7224
(719) 246-5693
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000182092
—
CO
Enumeration date
05/15/2020
Last updated
05/21/2021
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