| Bridgeway Life Development Foundation | |
|
700 W Main St Ste 4 Ovilla TX 75154-1618 | |
| (214) 945-0232 | |
| Not Available |
| Full Name | Bridgeway Life Development Foundation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 700 W Main St Ste 4, Ovilla, Texas |
| Authorized Official Name and Position | Ashlee Long-washington (PRESIDENT) |
| Authorized Official Contact | 2149450232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Life Development Foundation 312 Sabine River Rd Glenn Heights TX 75154-5582 Ph: (214) 945-0232 | Bridgeway Life Development Foundation 700 W Main St Ste 4 Ovilla TX 75154-1618 Ph: (214) 945-0232 |
| NPI Number | 1710625116 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710625116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Village Counseling & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W Main St Ste 6, Ovilla, TX 75154 Phone: 469-808-9730 Fax: 469-275-9246 |