HER BRIDGE COLLECTIVE NPI 1093653255

NPI Information

  • NPI: 1093653255
  • Provider Name: HER BRIDGE COLLECTIVE
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Organization
  • Address: 1553 E COUNTY LINE RD
    JACKSON, MS
    ZIP 39211
  • Phone: (769) 229-2413

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NPI Details

HER BRIDGE COLLECTIVE is a case manager care coordinator in Jackson, MS. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. HER BRIDGE COLLECTIVE NPI is 1093653255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1553 E COUNTY LINE RD
JACKSON, MS
ZIP 39211-806
Phone: (769) 229-2413

The provider's authorized official is Demeara Virgil .
The authorized official title is Executive Director and has the following contact phone number (769) 229-2413.

The enumeration date for this NPI number is 3/23/2026 and was last updated on 3/23/2026.

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
1171M00000XCase Manager/Care CoordinatorYes

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: 11/21/2025

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