| Bridge Of Hope Wellness Llc | |
| 1001 Main Street Suite A Fair Bluff NC 28439 | |
| (910) 632-0234 | |
| Not Available | 
| Full Name | Bridge Of Hope Wellness Llc | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 1001 Main Street, Fair Bluff, North Carolina | 
| Authorized Official Name and Position | O'dell Graham (OWNER) | 
| Authorized Official Contact | 9102976430 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bridge Of Hope Wellness Llc 47 Combine Ln Se Leland NC 28451-9651 Ph: (910) 297-6430 | Bridge Of Hope Wellness Llc 1001 Main Street Suite A Fair Bluff NC 28439 Ph: (910) 632-0234 | 
| NPI Number | 1154156222 | 
|---|---|
| Provider Enumeration Date | 09/06/2024 | 
| Last Update Date | 09/06/2024 | 
| Certification Date | 09/06/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154156222 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Hope Advancement Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 684 Main Street, Fair Bluff, NC 28439 Phone: 910-649-7318 | |
| Rha Health Services Nc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6089 Hinsons Xrds, Fair Bluff, NC 28439 Phone: 800-848-0180 |