Healthcare Provider Details

I. General information

NPI: 1770423311
Provider Name (Legal Business Name): BRIDGES COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 E KANSAS ST
LIBERTY MO
64068-2312
US

IV. Provider business mailing address

PO BOX 1094
KEARNEY MO
64060-1094
US

V. Phone/Fax

Practice location:
  • Phone: 816-592-3848
  • Fax: 816-526-0156
Mailing address:
  • Phone: 816-592-3848
  • Fax: 816-526-0156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA BRIDGES
Title or Position: OWNER, LEAD CLINICIAN
Credential: LPC, LCPC, NCC
Phone: 816-592-3848