Heal Bridge Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEAL BRIDGE WELLNESS CENTER LLC

Practice address

2005 SE 82ND Ave Ste 6
Portland, OR 97216-1453

Phone

(817) 677-0750

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Abiodun Adelowo, PMHNPNPI 1639810559

Title

Member

Phone

(817) 677-0750

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Abiodun Adelowo, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
  • NPI 1639810559
  NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1215706973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SE 82ND AVE STE 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161453",
            "telephone_number": "817-677-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SE 82ND AVE STE 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161453",
            "telephone_number": "817-677-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL BRIDGE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "ADELOWO",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-677-0750",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Headlight Mental Healthcare LLC
• Arundhati Undurti Headrick, M.D., PHD
• Joshua Headrick
• Kristina Carolyn Headrick, MSW
• Headwinds Counseling, LLC
• Heal Thrive Grow Behavioral Health, Inc.
• Sarah Bray Heal, MA, QMHP
• Healed Phoenix Behavioral Health LLC
• Healer Mover Shaker Acupuncture
• Barbara Knapp Healey, PHARMD

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.