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Organization

BRIDGES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLAKE C FEAGANS LPC-MHSP (MANAGING MEMBER/OWNER)
(423) 827-3022
Entity
Organization

Contact information

Practice address
5726 MARLIN RD STE 315, CHATTANOOGA, TN 37411-5668
(423) 834-7175
Mailing address
5726 MARLIN RD STE 315, CHATTANOOGA, TN 37411-5668
(423) 834-7175

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
02/13/2023
Last updated
02/13/2023
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