Bridge to Hope Counseling, LLC
NPI #1467925768 in Bloomington, Illinois
Provider Information
- NPI Number
- 1467925768
- Entity Type
- Organization
- Organization Name
- Bridge to Hope Counseling, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 9, 2019
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 1012 EKSTAM DR STE 3
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6383
- Phone
- (309) 455-5703
Authorized Official
- Name
- KIMBERLY MOUSTOUKKIS, LCSW
- Title
- LICENSED THERAPIST
- Phone
- (309) 455-5703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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