Organization
BRIDGES EDUCATIONAL SERVICES FOR CHILDREN WITH AUTISM, INC.
Active
Other names
Bridges
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ERTLE MS, LPCC (OWNER)
(505) 379-1550
Entity
Organization
Contact information
Practice address
6501 CYPRESS POINT WAY NE, ALBUQUERQUE, NM 87111-6411
(505) 379-1550
(800) 714-4705
Mailing address
6501 CYPRESS POINT WAY NE, ALBUQUERQUE, NM 87111-6411
(505) 379-1550
(800) 714-4705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0084951
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22306854
—
NM
01
—
VNM01024
VALUE OPTIONS OF NM
NM
Enumeration date
08/08/2007
Last updated
06/15/2010
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