Organization Active NPI

Bridges to Mental Behavioral and Educational Wellness

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1225933039
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BRIDGES TO MENTAL BEHAVIORAL AND EDUCATIONAL WELLNESS
Practice address
2700 Long Lake Ter NE
Roswell, GA 30075-4082
Phone
(404) 889-6722
Fax
(478) 216-3347
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Sharifa Simmons Davis
Title
Chief Operating Officer
Phone
(404) 889-6722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2700 Long Lake Ter NE
Roswell, GA 30075-4082

Mailing address

2700 Long Lake Ter NE
Roswell, GA 30075-4082
Phone (404) 889-6722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1225933039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LONG LAKE TER NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754082",
            "telephone_number": "404-889-6722",
            "fax_number": "478-216-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LONG LAKE TER NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754082",
            "telephone_number": "404-889-6722",
            "fax_number": "478-216-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO MENTAL BEHAVIORAL AND EDUCATIONAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "SIMMONS DAVIS",
        "authorized_official_first_name": "SHARIFA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "404-889-6722"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.