Bridging Seventeen Counseling Center, Llc

LBN: Bridging Seventeen Counseling Center, Llc
Bridging Seventeen Counseling Center, Llc is an health care organization with primary practice located at 3108 Peach Orchard Rd #6419 , Augusta GA 30909-3090. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Bridging Seventeen Counseling Center, Llc can be contacted via phone (706) 496-1010, or through Jenkins, Terri Vernese via phone (706) 496-1010.

Contact Information

Primary practice address
3108 Peach Orchard Rd #6419 Augusta GA 30909-3090
Phone: (706) 496-1010
Fax: (877) 496-4637
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Terri Vernese ED.D, LPC, NCC, ACS
Phone: (706) 496-1010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LPC006595 Georgia
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X LPC006595 Georgia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X LPC006595 Georgia

Profile Details

NPI number 1518487404
LBN Legal business name Bridging Seventeen Counseling Center, Llc
DBA Doing business as
Authorized official Jenkins, Terri Vernese ED.D, LPC, NCC, ACS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2017
Last updated Jun 22nd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518487404 NPPES
Georgia Other I534865 AETNA
Georgia MEDICAID 003180029A AETNA
Georgia Other 671155 AETNA

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