Healthcare Provider Details

I. General information

NPI: 1780429043
Provider Name (Legal Business Name): BRIDGE TO HARMONY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 S CONGRESS AVE
PALM SPRINGS FL
33406-6674
US

IV. Provider business mailing address

1968 S CONGRESS AVE
PALM SPRINGS FL
33406-6674
US

V. Phone/Fax

Practice location:
  • Phone: 561-260-5544
  • Fax:
Mailing address:
  • Phone: 561-260-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISLEYDIS DENIS
Title or Position: PRESIDENT
Credential: LCSW
Phone: 786-525-6428