A Bridge to Achievement NC, LLC
Organization Active NPI Community/Behavioral Health Agency · Winston Salem, NC
NPI 1093233264 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1093233264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A BRIDGE TO ACHIEVEMENT NC, LLC
- Practice address
- 1420 Plaza Dr
Winston Salem, NC 27103-1470 - Phone
- (336) 565-6363
- NPI assigned
- Sep 7, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Dana Mayman Alley, MBA
- Title
- Ceo
- Phone
- (336) 565-6363
Practitioners 2
-
Tara Renee Laymon, PHD LPA LBA BCBA-D
National Provider Directory
Locations
1420 Plaza Dr
Winston Salem, NC 27103
Phone (335) 560-7878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Psychologist |
103T00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1420 Plaza Dr
Winston Salem, NC 27103-1470
Mailing address
1420 Plaza Dr
Winston Salem, NC 27103-1470
Phone (336) 565-6363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXXXXXX | Other | NA |
Other names
- A Bridge to Achievement
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://members.centralreach.com/?public=true#forms/form?id=2D288E35-AEE7-4CEB-86EE-E835BAC8F3A2 | Direct |
Other providers in Winston Salem, NC
- 4-Ever Change Services, Inc.
- 4Ward Steps LLC
- A and S Business Group LLC
- A Balm in Gilead Family Enrichment Center
- A Bridge to Achievement
- A Lending Hand Home Care Services LLC
- A Lending Hand Home Care Services LLC
- A New Inspiration, LLC
- A New Way of Life, Inc.
- A Partnership in Health, LLC
All providers in Winston Salem, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.