Healthcare Provider Details
I. General information
NPI: 1104497635
Provider Name (Legal Business Name): B & B THERAPY SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2021
Last Update Date: 10/05/2024
Certification Date: 10/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
305 N GEORGE ST
MILLERSVILLE PA
17551-1523
US
IV. Provider business mailing address
978 MILTON GROVE RD N
ELIZABETHTOWN PA
17022-8485
US
V. Phone/Fax
- Phone: 717-615-0811
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHANIE
BRIDGEHOUSE
Title or Position: PARTNER
Credential:
Phone: 717-615-0811