Organization
BRIDGE OVER BARRIERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI SAMUEL (CEO/OWNER)
(214) 604-6724
Entity
Organization
Contact information
Practice address
2639 BRIDGEWATER DR, GRAND PRAIRIE, TX 75054-7229
(214) 604-6724
Mailing address
2639 BRIDGEWATER DR, GRAND PRAIRIE, TX 75054-7229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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