Healthcare Provider Details

I. General information

NPI: 1629883947
Provider Name (Legal Business Name): BRIDGES TO A BETTER YOU MENTAL HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2191 MORRIS AVE
UNION NJ
07083-5927
US

IV. Provider business mailing address

262 FOREST LN
NORTH BRUNSWICK NJ
08902-4700
US

V. Phone/Fax

Practice location:
  • Phone: 973-207-1242
  • Fax:
Mailing address:
  • Phone: 973-207-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DUTECHE AINE
Title or Position: CEO
Credential: LCSW
Phone: 973-207-1242