Provider Demographics
NPI:1548374812
Name:A HEALING BRIDGE, RED OAK COUNSELING
Entity type:Organization
Organization Name:A HEALING BRIDGE, RED OAK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE-FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:937-235-2282
Mailing Address - Street 1:7223 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-2302
Mailing Address - Country:US
Mailing Address - Phone:937-235-2282
Mailing Address - Fax:937-236-2333
Practice Address - Street 1:7223 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-2302
Practice Address - Country:US
Practice Address - Phone:937-235-2282
Practice Address - Fax:937-236-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002533101Y00000X
OHI0003086104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty