OrganizationActive
Bridging Seventeen Counseling Center, LLC
NPI 1518487404 · Adolescent and Children Mental Health Clinic/Center · Augusta, GA
Provider details
- NPI number
- 1518487404
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terri Jenkins, Executive Director(706) 496-1010
- License
- LPC006595 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense LPC006595 (GA)
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
3108 Peach Orchard Rd #6419
Augusta, GA 30909-3090
Phone: (706) 496-1010
Fax: (877) 496-4637
Approximate (ZIP-level) locationGet directions
Mailing address
4157 Elders Dr
Augusta, GA 30909-9145
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2017-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.