BRIDGING THE GAP LLC NPI 1578612370

NPI Information

NPI: 1578612370
Provider Name: BRIDGING THE GAP, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
205 PLAZA DR
SUITE D
GREENVILLE, NC
ZIP 27858
Phone: (252) 758-1300
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BRIDGING THE GAP, LLC is a mental health counselor in Greenville, NC. BRIDGING THE GAP, LLC NPI is 1578612370. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

205 PLAZA DR
SUITE D
GREENVILLE, NC
ZIP 27858-752
Phone: (252) 758-1300
Fax: (252) 758-0015

The provider's authorized official is Anthony Barnett .
The authorized official title is Qualified Professional and has the following contact phone number (252) 758-1300.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 2/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YP2500X	Counselor	Professional			No
3	106H00000X	Marriage & Family Therapist				No
4	103T00000X	Psychologist				No
5	104100000X	Social Worker				No
6	251S00000X	Community/Behavioral Health		074-175	NORTH CAROLINA	No
7	320800000X	Community Based Residential Treatment Facility, Mental Illness		074-175	NORTH CAROLINA	No
8	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6604195	MEDICAID	NORTH CAROLINA
2	8301920B	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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