Provider Demographics
NPI:1215497110
Name:DR. B'S CENTER FOR HEALTH & WHOLENESS
Entity type:Organization
Organization Name:DR. B'S CENTER FOR HEALTH & WHOLENESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIDGIT
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LCSW
Authorized Official - Phone:808-457-2911
Mailing Address - Street 1:2320 REDWOOD RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-1590
Mailing Address - Country:US
Mailing Address - Phone:808-457-2911
Mailing Address - Fax:877-396-2012
Practice Address - Street 1:2320 REDWOOD RIDGE TRL
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-1590
Practice Address - Country:US
Practice Address - Phone:808-457-2911
Practice Address - Fax:877-396-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty