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NPI Code Detail

MEDICARE: BRIDGES FAMILY CENTER, LLC

MEDICARE: BRIDGES FAMILY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1114KY

General Provider Information

NPI Number : 1730467036
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGES FAMILY CENTER, LLC
Provider Business Mailing Address
First Line : 1712 HIGHWAY 121 BYP N STE I
Second Line :
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Provider Business Practice Location Address
First Line : 1712 STATE ROUTE 121 N STE D
Second Line :
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Authorized Official
Title or Position : OWNER/MANAGER
Name : MS. KATRINA AMALIA COFFELT
Credential : LPCC, NCC
Telephone Number : 270-761-5804
Provider Enumeration Date : 08/03/2011
Last Update Date : 01/14/2025

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Directions to “BRIDGES FAMILY CENTER, LLC ” Practice Location

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