| The Bridge Youth & Family Counseling Services, Inc | |
|
5384 Savannah Pkwy Southaven MS 38672-7515 | |
| (870) 270-8796 | |
| Not Available |
| Full Name | The Bridge Youth & Family Counseling Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5384 Savannah Pkwy, Southaven, Mississippi |
| Authorized Official Name and Position | Calvin Cosen (OWNER) |
| Authorized Official Contact | 8702708796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Youth & Family Counseling Services, Inc Po Box 2182 Southaven MS 38671-2201 Ph: (713) 582-2836 | The Bridge Youth & Family Counseling Services, Inc 5384 Savannah Pkwy Southaven MS 38672-7515 Ph: (870) 270-8796 |
| NPI Number | 1083122428 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 01/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083122428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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