Provider Demographics
NPI:1003374596
Name:BRIDGES AND BARRIERS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BRIDGES AND BARRIERS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-907-0388
Mailing Address - Street 1:118 NORTH AVE STE K
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-8408
Mailing Address - Country:US
Mailing Address - Phone:678-907-0388
Mailing Address - Fax:678-261-6465
Practice Address - Street 1:118 NORTH AVE STE K
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-8408
Practice Address - Country:US
Practice Address - Phone:678-907-0388
Practice Address - Fax:678-261-6465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty