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Bridges To Self Empowerment A Marriage and Family Therapist Corporatio

Community/Behavioral Health Agency in Santa Rosa, CA · enumerated 2017 · authorized official Alice Petty-Hannum, Corporation Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336686369

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Registry record

Entity type Organization (Type 2)
Legal business name Bridges To Self Empowerment A Marriage and Family Therapist Corporatio
Other name <Unavail>
Parent organization Bridges To Self Empowerment
Practice address 406 Chinn St, Santa Rosa, CA, 95404
Fax (707) 570-2680
Enumeration date Jan 29, 2017
Last updated in NPPES Jan 29, 2017

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License MFC43967 (CA) Primary

Authorized official

Name Alice Petty-Hannum
Title Corporation Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Bridges To Self Empowerment A Marriage and Family Therapist Corporatio?
NPPES lists Alice Petty-Hannum (Corporation Owner) as the authorized official for this organization.
What is the NPI number for Bridges To Self Empowerment A Marriage and Family Therapist Corporatio?
The NPI for Bridges To Self Empowerment A Marriage and Family Therapist Corporatio is 1336686369, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-29.