Provider Demographics
NPI:1447488192
Name:A BRIDGE TO GROWTH
Entity type:Organization
Organization Name:A BRIDGE TO GROWTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GASTESI-DE ARMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MED, LMHC
Authorized Official - Phone:954-257-6393
Mailing Address - Street 1:2741 EXECUTIVE PARK DR STE 2B
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3641
Mailing Address - Country:US
Mailing Address - Phone:954-257-6393
Mailing Address - Fax:954-667-1021
Practice Address - Street 1:2741 EXECUTIVE PARK DR
Practice Address - Street 2:STE 2B
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3641
Practice Address - Country:US
Practice Address - Phone:954-257-6393
Practice Address - Fax:954-667-1021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5665101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty