Bridges, Ledetra
Bridges, Ledetra is an individual health care provider with primary practice located at 3400 Lebanon Rd , Murfreesboro TN 37129-1392. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bridges, Ledetra can be contacted via phone (615) 525-4793.Contact Information
Primary practice address
3400 Lebanon Rd
Murfreesboro TN 37129-1392
Phone: (615) 525-4793
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2023 | Mississippi |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C8677 | Mississippi |
Profile Details
| NPI number | 1750655155 |
|---|---|
| LBN Legal business name | Bridges, Ledetra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2012 |
| Last updated | Apr 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750655155 | NPPES |
| Alaska | MEDICAID | 1020986 |
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