Organization
THE BRIDGES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELANA TERRY MED LPC (PROGRAM DIRECTOR)
(770) 451-6838
Entity
Organization
Contact information
Practice address
3855 PRESIDENTIAL PKWY, ATLANTA, GA 30340-3705
(770) 451-6838
Mailing address
3855 PRESIDENTIAL PKWY, ATLANTA, GA 30340-3705
(770) 451-6838
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LPC003650
GA
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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