BRIDGE BUILDERS MEDIATION AND FAMILY SERVICES


Address: 1460 Cassat Ave Ste B, Jacksonville, FL 32205-7202
Phone: 9043386435

BRIDGE BUILDERS MEDIATION AND FAMILY SERVICES (NPI# 1457788069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457788069
Entity Type Organization
Organization Name BRIDGE BUILDERS MEDIATION AND FAMILY SERVICES
Practice Address 1460 Cassat Ave Ste B
Jacksonville
FL 32205-7202
Mailing Address Po Box 6763
Jacksonville
FL 32236-6763
Practice Telephone 9043386435
Mailing Telephone 9043386435
Enumeration Date 2013-09-27
Last Update Date 2013-09-27
Authorized Official Name DR. CYNTHIA ANN SIMPSON (CEO)
Authorized Official Telephone 9043006563
Authorized Official Credential PH. D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Office Location

Street Address 1460 CASSAT AVE STE B
City JACKSONVILLE
State FL
Zip Code 32205-7202

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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