Bridges Emotional Wellness Clinic, Inc in Fort Wayne - Clinical
Bridges Emotional Wellness Clinic, Inc - NPI 1437375888
Bridges Emotional Wellness Clinic, Inc is a Clinical in Fort Wayne, Indiana. Bridges Emotional Wellness Clinic, Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bridges Emotional Wellness Clinic, Inc is 1437375888. The last update date is 2008-07-01.
Bridges Emotional Wellness Clinic, Inc's current location address is 4235 Flagstaff Cove, Fort Wayne, Indiana. You can contact this provider via phone number 2609696600 and fax number 2609696601. The mailing address for Bridges Emotional Wellness Clinic, Inc is 4235 Flagstaff Cove, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridges Emotional Wellness Clinic, Inc |
|---|---|
| Address | 4235 Flagstaff Cove, Fort Wayne, Indiana |
| Phone Number | 2609696600 |
| Fax Number | 2609696601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Osterholt-Polston Cecilia Agnes |
| Telephone Number | 2609696600 |
NPI Number Detail
| NPI Number | 1437375888 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 4235 Flagstaff Cove |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468154418 |
| Phone Number | 2609696600 |
| Fax Number | 2609696601 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200373680 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bridges Emotional Wellness Clinic, Inc by the Centers for Medicare & Medicaid Services?
The Bridges Emotional Wellness Clinic, Inc has been issued the NPI (National Provider Identifier) 1437375888, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bridges Emotional Wellness Clinic, Inc?
The Bridges Emotional Wellness Clinic, Inc is physically situated at 4235 Flagstaff Cove, in the city of Fort Wayne, state of IN, with the postal code 468154418.
What is the Bridges Emotional Wellness Clinic, Inc's specialty and taxonomy code?
The Bridges Emotional Wellness Clinic, Inc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Bridges Emotional Wellness Clinic, Inc receive the assignment of its 1437375888 from the Centers for Medicare & Medicaid Services?
The Bridges Emotional Wellness Clinic, Inc was issued its 1437375888 by the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information regarding Bridges Emotional Wellness Clinic, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bridges Emotional Wellness Clinic, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-01.
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