BRIDGES CLUBHOUSE NPI 1861683542

NPI Information

  • NPI: 1861683542
  • Provider Name: BRIDGES CLUBHOUSE
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 2105 COMMERCE DR
    CAYCE, SC
    ZIP 29033
  • Phone: (803) 796-6179

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NPI Details

BRIDGES CLUBHOUSE is a mental health (including community mental health center) clinic center in Cayce, SC. BRIDGES CLUBHOUSE NPI is 1861683542. The provider is registered as an organization entity type.

The provider's business location address is:

2105 COMMERCE DR
CAYCE, SC
ZIP 29033-524
Phone: (803) 796-6179

The provider's authorized official is Ashley Dawn Moore .
The authorized official title is Intern and has the following contact phone number (803) 463-1891.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 8/7/2007.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)SOUTH CAROLINAYes

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: 3/30/2025

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