Organization
BRIDGE THE GAP WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL PARRISH (OWNER)
(502) 417-2566
Entity
Organization
Contact information
Practice address
801 W BROADWAY STE 5, LOUISVILLE, KY 40202-2236
(502) 417-2566
Mailing address
1817 ROWAN ST, LOUISVILLE, KY 40203-1258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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