Bridge Psychotherapy LLC
Social Worker, Clinical in Old Mystic, Connecticut
1518475383- Practice location
- 47 Main St, Old Mystic, CT 06372-7700
- Phone
- 860-214-7439
- Fax
- —
- Last updated
- January 16, 2018
Bridge Psychotherapy LLC is a healthcare organization based in Old Mystic, CT. Bridge Psychotherapy LLC practices in Old Mystic, CT. The NPI Number for Bridge Psychotherapy LLC is 1518475383 and holds a License No. 006035 (CT). The current practice location address for Bridge Psychotherapy LLC is 47 Main St, Old Mystic, CT 06372-7700 and can be reached out via phone at 860-214-7439.
Provider Profile Details
- NPI Number
- 1518475383
- Provider Name
- Bridge Psychotherapy LLC
- Provider Entity Type
- Organization
- Address
- 47 Main St, Old Mystic, CT 06372-7700
- Phone Number
- 860-214-7439
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Bridget Doyle- Kusy, LCSW · Owner/Sole Proprietor · 860-214-7439
- Provider Enumeration Date
- January 16, 2018
- Last Update Date
- January 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 47 Main St
Old Mystic, CT 06372-7700 - City
- Old Mystic
- State
- Connecticut
- Zip
- 06372-7700
- Phone Number
- 860-214-7439
Provider Business Mailing Address Details
- Address
- Po Box 0562
Bridge Psychotherapy
Old Mystic, CT 06372 - City
- Old Mystic
- State
- CT
- Zip
- 06372
License Information
- License Number
- 006035
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Old Mystic, CT
View all Social Worker, Clinical providers in Old Mystic →Frequently Asked Questions
What is the NPI number of Bridge Psychotherapy LLC?
The NPI number of Bridge Psychotherapy LLC is 1518475383. It was assigned on January 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Bridge Psychotherapy LLC?
Bridge Psychotherapy LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006035.
Where does Bridge Psychotherapy LLC practice?
The practice location is 47 Main St, Old Mystic, CT 06372-7700. The office can be reached at 860-214-7439 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518475383 directly on the NPPES registry website.