Bridge to Holistic Healing, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIDGE TO HOLISTIC HEALING, LLC

Practice address

223 N Prospect St Ste 306
Hagerstown, MD 21740-3783

Phone

(240) 767-6966

Fax

(301) 579-0037

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Lee, MPA

Title

Ceo/Owner

Phone

(240) 767-6966

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bridge to Holistic Healing, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hagerstown, MD
  • NPI 1295360337
  NPPES parent name
• Bridge to Holistic Healing, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hagerstown, MD
  • NPI 1568097608
  NPPES parent name

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1215560396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N PROSPECT ST STE 306",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403783",
            "telephone_number": "240-767-6966",
            "fax_number": "301-579-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N PROSPECT ST STE 306",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403783",
            "telephone_number": "240-767-6966",
            "fax_number": "301-579-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO HOLISTIC HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-767-6966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "customerservice@bridgehh.care",
            "affiliation": "N",
            "endpointDescription": "secure internal email address for all stakeholders",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "223 N Prospect St Ste 306",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217403783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen K Bratcher, PT, DPT
• Breaking the Chains Hospice and Palliative Care Corp.
• Cynthia Brendle, PTA
• Elizabeth L Brennan, CCC-SLP
• Jade Angeline Brenneman, LCSW-C
• Bridge to Holistic Healing, LLC
• Bridge to Holistic Healing, LLC
• Bridgeway Care Transport LLC
• Renee Brierly, LPN
• Bright Life Enhancement Services,L.L.C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.