Organization
A BRIDGE 2 HEALING THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ENCHELLE R MORRIS LCPC (OWNER/CLINICAL THERAPIST)
(708) 831-3943
Entity
Organization
Contact information
Practice address
930 175TH ST, HOMEWOOD, IL 60430-2039
(708) 831-3943
(708) 794-0521
Mailing address
12254 S YALE AVE, CHICAGO, IL 60628-6529
(708) 831-3943
(708) 794-0521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/14/2022
Last updated
10/06/2023
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