Bridgeway Center, Inc | |
137 Hospital Dr Ne Fort Walton Beach FL 32548-5015 | |
(850) 833-7500 | |
(850) 833-7528 |
Full Name | Bridgeway Center, Inc |
---|---|
Speciality | Counselor - Mental Health |
Location | 137 Hospital Dr Ne, Fort Walton Beach, Florida |
Authorized Official Name and Position | Bonnie R Barlow (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8508333975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridgeway Center, Inc 137 Hospital Dr Ne Fort Walton Beach FL 32548-5015 Ph: (850) 833-3975 | Bridgeway Center, Inc 137 Hospital Dr Ne Fort Walton Beach FL 32548-5015 Ph: (850) 833-7500 |
NPI Number | 1316513088 |
---|---|
Provider Enumeration Date | 06/02/2021 |
Last Update Date | 06/28/2021 |
Certification Date | 06/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316513088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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