Provider Demographics
NPI:1669119871
Name:BRIDGES MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:BRIDGES MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIVAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:419-571-6327
Mailing Address - Street 1:9701 BROOKPARK RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44129-6824
Mailing Address - Country:US
Mailing Address - Phone:216-630-7586
Mailing Address - Fax:
Practice Address - Street 1:9701 BROOKPARK RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44129-6824
Practice Address - Country:US
Practice Address - Phone:216-630-7586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty