Bridges Emotional Wellness Clinic, Inc
LBN: Bridges Emotional Wellness Clinic, Inc
Bridges Emotional Wellness Clinic, Inc is an health care organization with primary practice located at 4235 Flagstaff Cove , Fort Wayne IN 46815-4418. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Bridges Emotional Wellness Clinic, Inc can be contacted via phone (260) 969-6600, or through Osterholt-Polston, Agnes Cecilia via phone (260) 969-6600.
Contact Information
Primary practice address
4235 Flagstaff Cove
Fort Wayne IN 46815-4418
Phone: (260) 969-6600
Fax: (260) 969-6601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1437375888 |
|---|---|
| LBN Legal business name | Bridges Emotional Wellness Clinic, Inc |
| DBA Doing business as | |
| Authorized official | Osterholt-Polston, Agnes Cecilia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 1st, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437375888 | NPPES |
| Indiana | MEDICAID | 200373680 |
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