Provider Demographics
NPI:1164397873
Name:BRIDGE2GROWTH COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:BRIDGE2GROWTH COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-ASSOCIATE
Authorized Official - Phone:682-597-4769
Mailing Address - Street 1:4717 LATOUR LN
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-1388
Mailing Address - Country:US
Mailing Address - Phone:682-597-4769
Mailing Address - Fax:
Practice Address - Street 1:4717 LATOUR LN
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-1388
Practice Address - Country:US
Practice Address - Phone:682-597-4769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty