Organization
BRIDGING LEGACIES II
Active
Organization
BRIDGING LEGACIES II
Active
Parent organization
BRIDGING LEGACIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIDGING LEGACIES
Authorized official
TIARA NICOLE HEDGEPETH (EXECUTIVE DIRECTOR)
(910) 467-6645
Entity
Organization
Contact information
Practice address
1510 ROSE TERRACE CIR, LOGANVILLE, GA 30052-9041
(910) 467-6645
Mailing address
125 KILLIS BLVD, RICHLANDS, NC 28574-6397
(910) 467-6645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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