Bridgestone Mental Wellness & Therapy

NPI #1235992322 in Ashburn, Virginia

Provider Information

NPI Number: 1235992322
Entity Type: Organization
Organization Name: Bridgestone Mental Wellness & Therapy
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 1, 2024
Last Updated: Feb 1, 2024

Practice Location

Address: 43736 TOLAMAC DR
City: Ashburn
State: Virginia
ZIP Code: 20147-4761
Phone: (240) 441-1888

Authorized Official

Name: BRIDGET FAMOGUN
Title: PROVIDER
Phone: (240) 441-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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