- Practice location
- 930 175TH St, Homewood, IL 60430-2039
- Phone
- 708-831-3943
- Fax
- 708-794-0521
- Last updated
- October 6, 2023
A Bridge 2 Healing Therapeutic Services is a healthcare organization based in Homewood, IL. A Bridge 2 Healing Therapeutic Services practices in Homewood, IL. The NPI Number for A Bridge 2 Healing Therapeutic Services is 1801508528. The current practice location address for A Bridge 2 Healing Therapeutic Services is 930 175TH St, Homewood, IL 60430-2039 and can be reached out via phone at 708-831-3943 and via fax at 708-794-0521.
Provider Profile Details
- NPI Number
- 1801508528
- Provider Name
- A Bridge 2 Healing Therapeutic Services
- Provider Entity Type
- Organization
- Address
- 930 175TH St, Homewood, IL 60430-2039
- Phone Number
- 708-831-3943
- Fax Number
- 708-794-0521
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Miss Enchelle R Morris, LCPC · Owner/Clinical Therapist · 708-831-3943
- Provider Enumeration Date
- December 14, 2022
- Last Update Date
- October 6, 2023
- Certification Date
- October 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 930 175TH St
Homewood, IL 60430-2039 - City
- Homewood
- State
- Illinois
- Zip
- 60430-2039
- Phone Number
- 708-831-3943
- Fax Number
- 708-794-0521
Provider Business Mailing Address Details
- Address
- 12254 S Yale Ave
Chicago, IL 60628-6529 - City
- Chicago
- State
- IL
- Zip
- 60628-6529
- Phone Number
- 708-831-3943
- Fax Number
- 708-794-0521
License Information
- Taxonomy (1)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Homewood, IL
View all Counselor, Mental Health providers in Homewood →Frequently Asked Questions
What is the NPI number of A Bridge 2 Healing Therapeutic Services?
The NPI number of A Bridge 2 Healing Therapeutic Services is 1801508528. It was assigned on December 14, 2022 and is currently active in the NPPES registry.
What is the specialty of A Bridge 2 Healing Therapeutic Services?
A Bridge 2 Healing Therapeutic Services is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does A Bridge 2 Healing Therapeutic Services practice?
The practice location is 930 175TH St, Homewood, IL 60430-2039. The office can be reached at 708-831-3943 (phone) or 708-794-0521 (fax).
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 1801508528 directly on the NPPES registry website.