Bridge of Hope Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGE OF HOPE COUNSELING

Practice address

1736 E Charleston Blvd
#46
Las Vegas, NV 89104-7900

Phone

(702) 209-7049

NPI assigned

Jan 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond Lee Lavender

Title

Director of Client Services

Phone

(702) 209-7049

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1033509278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E CHARLESTON BLVD",
            "address_2": "#46",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891047900",
            "telephone_number": "702-209-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E CHARLESTON BLVD",
            "address_2": "#46",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891047900",
            "telephone_number": "702-209-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF HOPE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LAVENDER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "702-209-7049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902198559",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridge Counseling Associates, Inc
• Bridge Counseling Associates, Inc
• Bridge Counseling Associates, Inc
• Bridge Health Services
• Bridge Medical LLC
• Bridge of Hope Counseling
• Bridge of Hope Counseling Pca
• Bridge the Gap
• Bridge the Gap LLC
• Bridges Youth and Family Services LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.