Bridge of Hope Counseling Services, LLC
Organization Active NPI Community/Behavioral Health Agency · Bainbridge, GA
NPI 1679320709 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1679320709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BRIDGE OF HOPE COUNSELING SERVICES, LLC
- Practice address
- 904 N Miller Ave
Bainbridge, GA 39817-2640 - Phone
- (229) 416-6155
- NPI assigned
- May 6, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Jackie Denise Dixon, LCSW
- Title
- Owner/ Therapist
- Phone
- (229) 416-6155
Practitioners 1
-
Jackie Denise Dixon, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
904 N Miller Ave
Bainbridge, GA 39817-2640
Mailing address
904 N Miller Ave
Bainbridge, GA 39817-2640
Phone (229) 416-6155
Other names
- Jackie D Dixon
Other providers in Bainbridge, GA
- Chris Beam
- David N. Beauchamp
- Andre Q Bell
- David Lee Breault
- Bridge Behavior Consulting LLC
- Benjamin Henry Taylor Bridges
- Katherine Szakal Bridges
- Marcia Willis Brock
- Marty Dewayne Brock
- Winston B Brock
All providers in Bainbridge, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. 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.