Bridge to Wellness Centers, LLC

NPI #1427608124 in Vienna, Virginia

Provider Information

NPI Number: 1427608124
Entity Type: Organization
Organization Name: Bridge to Wellness Centers, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 13, 2019
Last Updated: Sep 13, 2019

Practice Location

Address: 1934 OLD GALLOWS RD STE 360
City: Vienna
State: Virginia
ZIP Code: 22182-4040
Phone: (703) 752-6181

Authorized Official

Name: GAIL LESLIE GRANDELA, LPC
Title: OWNER
Phone: (757) 748-7620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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