Bridgebuilders Family & Youth Services Inc.
Organization Active NPI Community/Behavioral Health Agency · Rock Hill, SC
NPI 1235430265 · NPPES record last updated May 20, 2016
Key facts
- NPI
- 1235430265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.
- Practice address
- 2025 Ebenezer Rd Ste G2
Rock Hill, SC 29732-1078 - Phone
- (803) 619-6900
- Fax
- (803) 619-6913
- NPI assigned
- Nov 8, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Vernon Tyronne Grier, BA
- Title
- Executive Director
- Phone
- (704) 451-7630
Corporate family (same tax ID) 9
Practitioners 1
-
Misty Brown Pearson, M.ED, LCMHC
National Provider Directory
- Tax ID family
- Bridgebuilders Family Youth Services Inc
Locations
2025 Ebenezer Rd
Ste G2
Rock Hill, SC 29732
Phone (803) 328-8123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2025 Ebenezer Rd Ste G2
Rock Hill, SC 29732-1078
Mailing address
2025 Ebenezer Rd Ste G2
Rock Hill, SC 29732-1078
Phone (803) 619-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8703082 | Medicaid | NC | |
| 3410080 | Medicaid | NC |
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- Bright Eyes & Optical
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All providers in Rock Hill, SC · Community/Behavioral Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.