Provider Demographics
NPI:1225610694
Name:A BRIDGE TO HEALING COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:A BRIDGE TO HEALING COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WINSOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:575-921-5351
Mailing Address - Street 1:1123 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6340
Mailing Address - Country:US
Mailing Address - Phone:575-921-5351
Mailing Address - Fax:
Practice Address - Street 1:1123 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6340
Practice Address - Country:US
Practice Address - Phone:575-921-5351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty