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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