| Organization Name: | BRIDGES FORENSIC COUNSELING SERVICES LLC |
| NPI Number: | 1013218593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEE L PERRY (CLINICAL DIRECTOR) |
| Mailing Address: | 189 S State St Suite 180 Clearfield |
| State: | UT US |
| Postal Code: | 840151061 |
| Phone Number: | 8012173523 |
| Fax Number: | 8012173723 |
| NPI Enumeration Date: | 11/15/2010 |
| NPI Last Update Date: | 12/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 17035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |