Organization · Type 2 NPI
The Bridge Youth & Family Counseling Services, Inc
Mental Health Counselor · Southaven, MS
NPI number
1083122428
Active
Practice location
5384 Savannah Pkwy
Southaven, MS 38672-7515
Mailing address
PO Box 2182
Southaven, MS 38671-2201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1083122428
The Bridge Youth & Family Counseling Services, Inc's National Provider Identifier is 1083122428, issued on Jan 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southaven, MS. The record was last updated on Jan 19, 2018.