| Bridge Of Hope Life Transformational Services, Llc | |
|
114 West St S Ste B Ahoskie NC 27910-3342 | |
| (252) 862-8505 | |
| (252) 862-8512 |
| Full Name | Bridge Of Hope Life Transformational Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 114 West St S Ste B, Ahoskie, North Carolina |
| Authorized Official Name and Position | Lakeisha Yvette Walker (PRESIDENT) |
| Authorized Official Contact | 2528628505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Of Hope Life Transformational Services, Llc 409 Quebec Rd Colerain NC 27924-9488 Ph: (252) 862-8505 | Bridge Of Hope Life Transformational Services, Llc 114 West St S Ste B Ahoskie NC 27910-3342 Ph: (252) 862-8505 |
| NPI Number | 1790269124 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790269124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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