Bridges Professional Counseling and Consulting LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRIDGES PROFESSIONAL COUNSELING AND CONSULTING LLC

Practice address

1549 West Broad Street
Monticello, MS 39654-7700

Phone

(601) 806-5065

Fax

(833) 207-2223

NPI assigned

Jun 21, 2019

Organization subpart

No

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

Authorized official

Name

Dwan Cole-Bridges, LPCNPI 1730311408

Title

Licensed Professional Counselor

Phone

(601) 278-5569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwan C Cole-Bridges, LPC-S

  • Professional Counselor
  • Monticello, MS
  • NPI 1730311408

  MS, Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1093376006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2689 RIVER RD",
            "city": "SILVER CREEK",
            "state": "MS",
            "postal_code": "396632469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 WEST BROAD STREET",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396547700",
            "telephone_number": "601-806-5065",
            "fax_number": "833-207-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES PROFESSIONAL COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "COLE-BRIDGES",
        "authorized_official_first_name": "DWAN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "601-278-5569",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armanda L. Bourne, PT
• Doretha Bournes, NP
• Chris Gilbert Boyd, DMD
• Constance M. Bradford, FNP-C
• Brenco
• Kelly Mackenzie Brister, COTA
• Amy Eaton Broome, PTA
• Rebecca Hussey Burris, C.F.N.P.
• Richard Gerald Burris, M.D.
• Caring Hands Behavioral Health and Wellness LLC

• All providers in Monticello, MS
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.