Organization Active NPI

Bridge2Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
National Provider Identifier
1336843705
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRIDGE2THERAPY
Practice address
290 M L K Jr Dr SE
Atlanta, GA 30312-2160
Phone
(404) 890-0832
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Tiana TeagueNPI 1538884796
Title
Ceo
Phone
(404) 890-0832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

290 M L K Jr Dr SE
Atlanta, GA 30312-2160

Mailing address

5415 Sugarloaf Pwky
Ste 1108/5856
Lawrenceville, GA 30043

National Provider Directory

National Provider Directory

Locations

5415 Sugarloaf Pkwy
Ste 11085856
Lawrenceville, GA 30043

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1336843705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SUGARLOAF PWKY",
            "address_2": "STE 1108/5856",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 M L K JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122160",
            "telephone_number": "404-890-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE2THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-890-0832"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.