Her Bridge Collective
Organization Active NPI Case Manager/Care Coordinator · Jackson, MS
NPI 1093653255 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1093653255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Legal business name
- HER BRIDGE COLLECTIVE
- Practice address
- 1553 E County Line Rd
Jackson, MS 39211-1806 - Phone
- (769) 229-2413
- NPI assigned
- Mar 23, 2026
- Organization subpart
- No
Authorized official
- Name
- Demeara Virgil, BS PSYCHOLOGY DEGREE
- Title
- Executive Director
- Phone
- (769) 229-2413
Practitioners 1
National Provider Directory
Locations
1553 E County Line Rd
Jackson, MS 39211
Phone (769) 229-2413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | Yes |
Addresses
Primary practice location
1553 E County Line Rd
Jackson, MS 39211-1806
Mailing address
514 Castlewoods Blvd
Brandon, MS 39047-7632
Phone (769) 229-2413
Other providers in Jackson, MS
- William Ryan Henry
- Martha Lynn Henshaw
- Elizabeth Keeling Hensley
- Zeb K Henson
- Nickole N Henyan
- Conner Herbert
- Jovana Herbert
- Tamecia Herbert
- Heritage Home Health Agency
- Susan F Hermes
All providers in Jackson, MS · Case Manager/Care Coordinator in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. 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.