Rodney Millan Bridges, LADAC,NCAC1,LCS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Memphis, TN
NPI 1134448582 · NPPES record last updated May 25, 2010
Key facts
- NPI
- 1134448582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LDCOOOOOOO868 (TN)
- Practice address
- 3385 Airways Blvd
Suite 216
Memphis, TN 38116-3841 - Phone
- (901) 345-1236
- Fax
- (901) 345-1735
- NPI assigned
- May 25, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDCOOOOOOO868 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LDCOOOOOOO868 | TN | Yes |
Addresses
Primary practice location
3385 Airways Blvd
Suite 216
Memphis, TN 38116-3841
Mailing address
3385 Airways Blvd
Suite 216
Memphis, TN 38116-3841
Phone (901) 345-1236
Other providers in Memphis, TN
- Bridges for L.I.F.E. Inc
- Baylee Brooke Bridges
- Jacqueline Bridges
- James O. Bridges
- Rachel M Bridges
- Ruth Anne Bridges
- Bernice Briggs-Jones
- Latacia Lashye Briggs
- Marianne Briggs
- Shavitress Briggs
All providers in Memphis, TN · Addiction (Substance Use Disorder) Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.