BRIDGING SEVENTEEN COUNSELING CENTER, LLC - NPI 1518487404

Q: What is Bridging Seventeen Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

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About Bridging Seventeen Counseling Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGING SEVENTEEN COUNSELING CENTER, LLC (NPI 1518487404) is a healthcare organization registered as an adolescent and children mental health in Augusta, Georgia and active in the NPI registry since June 2017. The organization lists Terri Vernese Jenkins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1518487404

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameBRIDGING SEVENTEEN COUNSELING CENTER, LLC

Location Address3108 PEACH ORCHARD RD #6419Augusta, GA 30909-3090

Mailing Address4157 Elders DrAugusta, GA 30909-9145 · (706) 496-1010 · Fax (877) 496-4637

Phone(706) 496-1010

Fax(877) 496-4637

Organization SubpartNo

Authorized OfficialTerri Vernese JenkinsExecutive Director · (706) 496-1010

Enumeration DateJune 22, 2017

✔ NPI 1518487404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in GA · LPC006595

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License LPC006595 (GA)

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License LPC006595 (GA)

3108 PEACH ORCHARD RD #6419, Augusta, GA 30909

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Other Identifiers 3

Medicaid003180029AGA

Other671155GA · Bcbs Of Ga

OtherI534865GA · Aetna

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridging Seventeen Counseling Center, LLC's NPI number?

The NPI number for Bridging Seventeen Counseling Center, LLC is 1518487404. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Bridging Seventeen Counseling Center, LLC located?

Bridging Seventeen Counseling Center, LLC is located at 3108 Peach Orchard Rd #6419, Augusta, GA 30909. The listed phone number is (706) 496-1010.

What is Bridging Seventeen Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Bridging Seventeen Counseling Center, LLC was last updated on June 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.