Organization
BRIDGE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA WHITAKER (OWNER)
(623) 289-1654
Entity
Organization
Contact information
Practice address
9520 W PALM LN STE 240, PHOENIX, AZ 85037-4448
(623) 289-1654
Mailing address
9520 W PALM LN STE 240, PHOENIX, AZ 85037-4448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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