Overview
Name: NEW ROOTS BRIDGEWAY LLC
Specialty: Mental Health Clinic/Center (Including Community Mental Health Center)
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center).
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: NEW ROOTS BRIDGEWAY LLC,4208 E CENTRAL AVE,WICHITA,KS,672083822,US
Mailing Address: NEW ROOTS BRIDGEWAY LLC,4208 E CENTRAL AVE,WICHITA,KS,672083822,US
Contact #
Practice location phone #: 3163518280
Practice location fax #:
Mailing address Phone #:
Mailing Address fax #:
Authorized official Name/Telephone #:ASHLEA, NICHOLSON, LMAC, LMFT, CEO 7853420437
Misc
Date NPI was obtained: 04/05/2022
Last data data was updated: 04/05/2022
Insurances: