Provider Demographics
NPI:1447584354
Name:BRIDGES COUNSELING AND EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:BRIDGES COUNSELING AND EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMILTON
Authorized Official - Middle Name:HERNANDO
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:941-889-7800
Mailing Address - Street 1:252 W MARION AVE
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-4435
Mailing Address - Country:US
Mailing Address - Phone:941-205-2417
Mailing Address - Fax:941-205-2422
Practice Address - Street 1:992 TAMIAMI TRL
Practice Address - Street 2:GRAND OAK PLAZA STE B
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33953-3868
Practice Address - Country:US
Practice Address - Phone:941-889-7800
Practice Address - Fax:941-889-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6202101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty