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General NPI Number Information
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NPI Number | 1679320709
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Entity Type | Organization
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Legal Business Name | BRIDGE OF HOPE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 904 N MILLER AVE
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City | BAINBRIDGE
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State | GA
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Zip | 39817-2640
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Country | US
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Telephone | 229-416-6155
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Fax |
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Provider Business Mailing Address
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Address Line | 904 N MILLER AVE
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City | BAINBRIDGE
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State | GA
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Zip | 39817-2640
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Country | US
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Telephone | 229-416-6155
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Fax |
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | MS. JACKIE DENISE DIXON
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Credential | LCSW
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Telephone | 229-416-6155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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