Bridge of Hope Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGE OF HOPE WELLNESS LLC

Practice address

1001 Main Street
Suite a
Fair Bluff, NC 28439

Phone

(910) 632-0234

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. O'Dell Graham, LCMHC

Title

Owner

Phone

(910) 297-6430

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lenzy O'Dell Graham, M.A. LPC-A

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1275991150
  NPD

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1154156222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COMBINE LN SE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519651",
            "telephone_number": "910-297-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN STREET",
            "address_2": "SUITE A",
            "city": "FAIR BLUFF",
            "state": "NC",
            "postal_code": "28439",
            "telephone_number": "910-632-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF HOPE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "O'DELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-297-6430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Paige Barnhill-Blackwell, FNP-C
• Michele R Bartosik-Austin, RBT
• Carolina Living Home Care Agency Inc.
• Rebecca Dyan Click, MA, BCBA
• Community Innovations Inc.
• Patricia Ann Davis
• DBG III LLC (Fair Bluff Assisted Living #2)

• Mental Health Counselor in Fair Bluff, NC
• Providers in Fair Bluff, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.