The Bridge Youth & Family Counseling Services, INC
NPI #1083122428 in Southaven, Mississippi
Provider Information
- NPI Number
- 1083122428
- Entity Type
- Organization
- Organization Name
- The Bridge Youth & Family Counseling Services, INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 19, 2018
- Last Updated
- Jan 19, 2018
Practice Location
- Address
- 5384 SAVANNAH PKWY
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38672-7515
- Phone
- (870) 270-8796
Authorized Official
- Name
- CALVIN COSEN
- Title
- OWNER
- Phone
- (870) 270-8796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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