Bridges Counseling and Assessment LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004884 Issued in GA

Legal business name

BRIDGES COUNSELING AND ASSESSMENT LLC

Practice address

407 E Jackson St
Dublin, GA 31021-6639

Phone

(478) 290-5148

Fax

(478) 290-8181

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Tammy E. Edge, LPC, EDSNPI 1437340130

Title

Therapist

Phone

(478) 290-5148

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tammy E. Edge, LPC, EDS

  • Professional Counselor
  • Dublin, GA
  • NPI 1437340130
  NPD (past) Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1174995088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST PKWY # 227",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213562",
            "telephone_number": "478-290-5148",
            "fax_number": "478-290-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E JACKSON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216639",
            "telephone_number": "478-290-5148",
            "fax_number": "478-290-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COUNSELING AND ASSESSMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "478-290-5148",
        "authorized_official_credential": "LPC, EDS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Marshae Braziel, FNP-BC
• Taylor Ramey Brent, DPT, PT
• Terri Amber Brewer, PHARMD
• Yumeka S. Brezial-Mincey, RN,MSN,FNP-C
• Brian Colwell Medical Supply
• Bridgeway Life Skill Services
• Taylor Brigham, OD
• Valerie Rebecca Brinkley
• Robby Scott Brinson, D.M.D.
• Jamie T Brock, CRT

• Professional Counselor in Dublin, GA
• Providers in Dublin, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.