Organization · Type 2 NPI
Kingdom Bridge, Inc.
Mental Health Counselor · Edmond, OK
NPI number
1932058682
Active
Practice location
609 S Kelly Ave Ste C
Edmond, OK 73003-5659
Mailing address
609 S Kelly Ave Ste C1
Edmond, OK 73003-5743
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 1932058682
Kingdom Bridge, Inc.'s National Provider Identifier is 1932058682, issued on Jan 26, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Jan 26, 2026.