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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518487404 | NPPES |
| Georgia | Other | I534865 | AETNA |
| Georgia | MEDICAID | 003180029A | AETNA |
| Georgia | Other | 671155 | AETNA |
Popular Providers
-
Evolve Managed Care Solutions
519 Blackburn Dr Ste 523 , Augusta GA 30907-8202 -
Advantage Behavioral Health Systems
250 North Ave , Athens GA 30601-2244 -
Public Health Trust Of Miami Dade County Florida
15055 Nw 27 Avenue , Opa-Locka FL 33054-3365 -
Peachstate Behavioral Health Services
233 Davis Rd Suite G, Augusta GA 30907-2499 -
The Otis R Bowen Center For Human Services Inc
850 N Harrison St , Warsaw IN 46580-3163 -
The Marsh Foundation
1229 Lincoln Hwy , Van Wert OH 45891-1877 -
Mental Wealth Resources, Llc
2184 River Park Ct , Augusta GA 30907-2040 -
Border Region Mhmr Community Center
1500 Pappas St , Laredo TX 78041-1701