Bridge to Holistic Healing, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

BRIDGE TO HOLISTIC HEALING, LLC

Doing business as

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

Mar 9, 2020

Organization subpart

Yes

Parent organization

BRIDGE TO HOLISTIC HEALING, LLCAs reported in NPPES

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

Authorized official

Name

Brenda Lee, MPA

Title

Ceo/Owner

Phone

(240) 767-6966

Specialties & licenses 1

Addresses

Other names 1

• Bridge to Holistic Healing, LLC Doing business as

Electronic endpoints 1

Tax ID family

Bridge to Holistic Healing LLC2 organizations share this tax ID, including this one

Part of

Bridge to Holistic Healing LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bridge to Holistic Healing, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hagerstown, MD
  • NPI 1568097608
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bridge to Holistic Healing, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1215560396
  NPPES parent name

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1295360337",
    "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"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "BRIDGE TO HOLISTIC HEALING, LLC",
        "enumeration_date": "2020-03-09",
        "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_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "customerservice@bridgehh.care",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "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": [
        {
            "organization_name": "Bridge to Holistic Healing, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridge to Holistic Healing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Bright Life Enhancement Services,L.L.C

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) 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.