Bridge Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRIDGE BEHAVIORAL HEALTH LLC

Practice address

410 E Taylor St Ste K2
Griffin, GA 30223-3444

Phone

(770) 678-0038

Fax

(770) 678-0038

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Ebunoluwa MikieNPI 1124669403

Title

Ceo and Owner

Phone

(404) 917-5484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Ebunoluwa Mikie

  • Psychiatric/Mental Health Nurse Practitioner
  • Griffin, GA
  • NPI 1124669403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1255123147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 AL JENNAH BLVD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483753",
            "telephone_number": "770-678-0038",
            "fax_number": "770-796-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E TAYLOR ST STE K2",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233444",
            "telephone_number": "770-678-0038",
            "fax_number": "770-678-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "MIKIE",
        "authorized_official_first_name": "EBUNOLUWA",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "404-917-5484"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Launce Braddock
• Jasmine Deanna Branch
• Arian M Brantley, NP
• Amy Braswell, LPC
• Katya Monet Brickman, MSN, CNM
• Bridgepoint Homecare Solutions, LLC
• Brighter Tomorrows Behavioral Health Services
• Brighter Tomorrows Consulting, LLC
• Brightmoor Assisted Living, Inc.
• Brightmoor Health Care Inc

• Psychiatric/Mental Health Nurse Practitioner in Griffin, GA
• Providers in Griffin, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.