| Bridgeway Counseling Llc | |
|
4204 16th Ave S Minneapolis MN 55407-3312 | |
| (612) 242-0673 | |
| Not Available |
| Full Name | Bridgeway Counseling Llc |
|---|---|
| Speciality | Assisted Living Facility |
| Location | 4204 16th Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Abdifatah Isse Nuuh (OWNER/MANAGER) |
| Authorized Official Contact | 6122420673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Counseling Llc 4204 16th Ave S Minneapolis MN 55407-3312 Ph: (612) 242-0673 | Bridgeway Counseling Llc 4204 16th Ave S Minneapolis MN 55407-3312 Ph: (612) 242-0673 |
| NPI Number | 1902493851 |
|---|---|
| Provider Enumeration Date | 12/27/2020 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902493851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | Primary |
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