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THE BRIDGE CONSULTING GROUP LLC NPI 1942822127


NPI Information

NPI: 1942822127
Provider Name: THE BRIDGE CONSULTING GROUP, LLC

Doing Business As: THE BRIDGE CONSULTING GROUP, LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2286126

Address:
3790 GUESS RD STE 102
DURHAM, NC
ZIP 27705
Phone: (984) 244-8642
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THE BRIDGE CONSULTING GROUP, LLC is a community behavioral health in Durham, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. THE BRIDGE CONSULTING GROUP, LLC NPI is 1942822127. The provider is registered as an organization entity type.
The provider Is Doing Business As The Bridge Consulting Group, Llc.

The provider's business location address is:

3790 GUESS RD STE 102
DURHAM, NC
ZIP 27705-916
Phone: (984) 244-8642
Fax: (919) 937-2046

The provider's authorized official is Valencia Butler Church-williams .
The authorized official title is Aba Director/ceo and has the following contact phone number (919) 491-8611.

The CLIA number assigned to this NPI record is 34D2286126 - other - outpatient behavioral hea with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2020 and was last updated on 7/24/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2343800000XSecured Medical Transport (VAN)No
3343900000XNon-emergency Medical Transport (VAN)No
4344600000XTaxiNo
5347C00000XPrivate VehicleNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
7106S00000XBehavior TechnicianNo
8101YM0800XCounselorMental HealthNo
9101YP2500XCounselorProfessionalNo
10103K00000XBehavior AnalystNo
11103TB0200XPsychologistCognitive & BehavioralNo
12103TC0700XPsychologistClinicalNo
131041C0700XSocial WorkerClinicalNo
14106E00000XAssistant Behavior AnalystNo
15251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110771OTHERQUALIFIED APPLIED BEHAVIOR ANALYSIS CREDENTIALING BOARD (QABA)
22346OTHERNORTH CAROLINANORTH CAROLINA PSYCHOLOGY BOARD
311685OTHERQUALIFIED AUTISM SERVICES PROVIDER-SUPERVISOR
41659OTHERNORTH CAROLINANORTH CAROLINA PSYCHOLOGY BOARD
50133002469OTHERVIRGINIACOMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
6A14394OTHERNORTH CAROLINANORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELOR

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

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