Bridging the Gap Holistic Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I. 1000213-SUPV Issued in OH

Legal business name

BRIDGING THE GAP HOLISTIC SERVICES, LLC

Practice address

3238 Village Dr
Fairfield, OH 45014-8119

Phone

(513) 884-2414

NPI assigned

May 24, 2016

Last updated

May 24, 2016By 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

Mariella Richardson

Title

Therapist

Phone

(513) 884-2414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1184071714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 VILLAGE DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 VILLAGE DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148119",
            "telephone_number": "513-884-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP HOLISTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARIELLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "513-884-2414"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I. 1000213-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.