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NPI Code Detail

MEDICARE: HIDDEN BRIDGE COLLECTIVE, LLC

MEDICARE: HIDDEN BRIDGE COLLECTIVE, LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1891570586
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIDDEN BRIDGE COLLECTIVE, LLC
Provider Business Mailing Address
First Line : 2004 FOULK RD STE 3
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-3641
Country : US
Telephone Number : 484-606-6056
Fax Number :
Provider Business Practice Location Address
First Line : 2004 FOULK RD STE 3
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-3641
Country : US
Telephone Number : 484-606-0656
Fax Number :
Authorized Official
Title or Position : OWNER
Name : REBECCA ANN MCADAMS
Credential : M. ED., LPCMH
Telephone Number : 484-606-6056
Provider Enumeration Date : 08/30/2023
Last Update Date : 03/09/2026

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Directions to “HIDDEN BRIDGE COLLECTIVE, LLC ” Practice Location

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