Bridges Counseling and Educational Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6202 Issued in FL

Legal business name

BRIDGES COUNSELING AND EDUCATIONAL SERVICES

Practice address

992 Tamiami TRL
Grand Oak Plaza Ste B
Port Charlotte, FL 33953-3868

Phone

(941) 889-7800

Fax

(941) 889-7796

NPI assigned

Sep 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hamilton Hernando Emery, EDD

Title

Owner

Phone

(941) 889-7800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1447584354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504435",
            "telephone_number": "941-205-2417",
            "fax_number": "941-205-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 TAMIAMI TRL",
            "address_2": "GRAND OAK PLAZA STE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533868",
            "telephone_number": "941-889-7800",
            "fax_number": "941-889-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COUNSELING AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "HAMILTON",
        "authorized_official_middle_name": "HERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-889-7800",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Port Charlotte, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.