Healthcare Provider Details

I. General information

NPI: 1275076622
Provider Name (Legal Business Name): CROSSING BRIDGES OF THE PALM BEACHES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2016
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N MAIN ST STE C
BELLE GLADE FL
33430-1973
US

IV. Provider business mailing address

1100 N MAIN ST STE C
BELLE GLADE FL
33430-1973
US

V. Phone/Fax

Practice location:
  • Phone: 561-463-9249
  • Fax:
Mailing address:
  • Phone: 561-463-9249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. CORETHA DENISE SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential: M.ED,MBA,MCAP
Phone: 561-463-9249