| Bridgeway Wellness Center Llc | |
|
350 Lincoln St Ste 2400 Hingham MA 02043-1579 | |
| (617) 446-3705 | |
| Not Available |
| Full Name | Bridgeway Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 350 Lincoln St Ste 2400, Hingham, Massachusetts |
| Authorized Official Name and Position | Latanya Duncan (CO-OWNER/CLINICIAN) |
| Authorized Official Contact | 6179058183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Wellness Center Llc 350 Lincoln St Ste 2400 Hingham MA 02043-1579 Ph: (617) 446-3705 | Bridgeway Wellness Center Llc 350 Lincoln St Ste 2400 Hingham MA 02043-1579 Ph: (617) 446-3705 |
| NPI Number | 1356969505 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356969505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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