Hidden Bridges, LLC

NPI #1578248118 in Sheridan, Wyoming

Provider Information

NPI Number: 1578248118
Entity Type: Organization
Organization Name: Hidden Bridges, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 20, 2023
Last Updated: Jun 20, 2023

Practice Location

Address: 1949 SUGARLAND DR STE 122
City: Sheridan
State: Wyoming
ZIP Code: 82801-5763
Phone: (307) 429-0644

Authorized Official

Name: JULIE NICKS-IRVINE, LPC, NCC
Title: SOLE MEMBER
Phone: (307) 429-0644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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