LONG BRIDGES NPI 1508671256

NPI Information

  • NPI: 1508671256
  • Provider Name: LONG BRIDGES
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Organization
  • Address: 149 GENE HILL RD
    MOUNT AIRY, NC
    ZIP 27030
  • Phone: (336) 553-8147

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NPI Details

LONG BRIDGES is a peer specialist in Mount Airy, NC. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. LONG BRIDGES NPI is 1508671256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

149 GENE HILL RD
MOUNT AIRY, NC
ZIP 27030-072
Phone: (336) 553-8147

The provider's authorized official is Jacob Bradley Long .
The authorized official title is Ceo and has the following contact phone number (336) 553-8147.

The enumeration date for this NPI number is 2/10/2025 and was last updated on 2/16/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4175T00000XPeer SpecialistYes

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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