MEDICARE: BRIDGE BUILDERS COUNSELING & MENTORING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	740082	MI

General Provider Information

NPI Number	:	1518205798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGE BUILDERS COUNSELING & MENTORING, INC.

Provider Business Mailing Address
First Line	:	1220 6TH ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-5349
Country	:	US
Telephone Number	:	810-987-8772
Fax Number	:	810-987-8706

Provider Business Practice Location Address
First Line	:	1220 6TH ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-5349
Country	:	US
Telephone Number	:	810-987-8772
Fax Number	:	810-987-8706

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. WILLIAM ALLEN RICHARDS
Credential	:
Telephone Number	:	810-987-8772

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	01/23/2013

Similar Medicare Providers

1245579598 — MRS. GENA MARIE VOIT MA, MFT
Practice Location Address:

1220 6TH ST
PORT HURON, MI
48060-5349

Practice Phone: 810-987-8772
Practice Fax:

1568822971 — BRIDGE BUILDERS COUNSELING AND MENTORING INC
Practice Location Address:

1220 6TH ST
PORT HURON, MI
48060-5349

Practice Phone: 810-987-8772
Practice Fax: 810-987-8706

1780535799 — PRIA RAGSDALE LDO
Practice Location Address:

4170 PORT CHESTER WAY
DECATUR, GA
30034-5349

Practice Phone: 470-358-6867
Practice Fax:

1437258837 — WAL-MART STORES EAST, LP
Practice Location Address:

8701 US HIGHWAY 19
PORT RICHEY, FL
34668-5349

Practice Phone: 727-846-9504
Practice Fax:

1396895637 — WAL-MART STORES EAST LP
Practice Location Address:

8701 US HIGHWAY 19
PORT RICHEY, FL
34668-5349

Practice Phone: 727-846-1093
Practice Fax:

1700310513 — SHARDAE TRIPP M.S., LMHC
Practice Location Address:

5590 NW PINE TRAIL CIR
PORT SAINT LUCIE, FL
34983-5349

Practice Phone: 772-418-7797
Practice Fax:

Directions to “BRIDGE BUILDERS COUNSELING & MENTORING, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.