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Jacqueline Bridges

Pastoral Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)

315 Dr. Martin Luther King Dr.
Memphis , Tennessee 38104

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Pastoral Counselor

Languages spoken

  • English

Location

315 Dr. Martin Luther King Dr. Memphis , Tennessee 38104

First Address

  • Jacqueline Bridges
  • 315 Dr Martin Luther King Dr
  • Memphis, TN
  • Zip : 38104
  • Phone :

Second Address

  • Jacqueline Bridges
  • 315 Dr. Martin Luther King Dr.
  • Memphis, TN
  • Zip : 38104
  • Phone : (901) 527-7774

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FAQs


Where did Jacqueline Bridges attend graduate school?

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Where did Jacqueline Bridges do her residency?

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Where did Jacqueline Bridges do her fellowship?

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Is Jacqueline Bridges board certified?

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What type of doctor is Jacqueline Bridges

Addiction Counselor (Substance Use Disorder)

In what state does Jacqueline Bridges practice in?

Tennessee

Where is Jacqueline Bridges ’s practice located?

315 Dr. Martin Luther King Dr. , Memphis, Tennessee, 38104

What is Jacqueline Bridges ’s gender?

Female

Is Jacqueline Bridges a sole practitioner?

No

Is Jacqueline Bridges accepting new patients?

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What languages does Jacqueline Bridges speak?

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Does Jacqueline Bridges accept insurance?

Yes, Jacqueline Bridges accepts insurance

Does Jacqueline Bridges offers telemedicine?

Jacqueline Bridges has not indicated if she offers telemedicine

What is Jacqueline Bridges ’s professional license number?

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What is Jacqueline Bridges ’s NPI number?

1205220464

Does Jacqueline Bridges have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YA0400X Addiction Counselor (Substance Use Disorder)
N 101YM0800X Mental Health Counselor
N 101YP1600X Pastoral Counselor

National Provider Identifier

NPI 1205220464
Provider Name Jacqueline Bridges
First Address Memphis, TN 38104
Second Address Memphis, TN 38104
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 26/03/2015
Last Update Date 26/03/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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