Healthcare Provider Details

I. General information

NPI: 1912823261
Provider Name (Legal Business Name): BRIDGE TO WELLNESS COUNSELING AND CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8965 SE BRIDGE RD STE 210
HOBE SOUND FL
33455-5325
US

IV. Provider business mailing address

8965 SE BRIDGE RD STE 210
HOBE SOUND FL
33455-5325
US

V. Phone/Fax

Practice location:
  • Phone: 772-713-0658
  • Fax:
Mailing address:
  • Phone: 772-713-0658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE VINYARD
Title or Position: CEO
Credential:
Phone: 772-713-0658