Organization · Type 2 NPI

Bridge Back To Life Inc

Mental Health Counselor · Bethpage, NY

NPI number 1194132175 Active

Practice location

4271 Hempstead Tpke
Bethpage, NY 11714-5708

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X003103 (NY)

Mental Health Counselor: Definition to come...

29 other providers at this address

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About NPI 1194132175

Bridge Back To Life Inc's National Provider Identifier is 1194132175, issued on Jul 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bethpage, NY. The record was last updated on Jul 22, 2014.