Organization Active NPI

Bridge to Balance Inc

  • Addiction (Substance Use Disorder) Counselor
  • Tempe, AZ
National Provider Identifier
1356274344
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BRIDGE TO BALANCE INC
Practice address
1222 E Baseline Rd Ste 103
Tempe, AZ 85283-1433
Phone
(602) 804-1182
NPI assigned
Jun 8, 2026
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Myrio Martell Davis
Title
Ceo
Phone
(602) 804-1182

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1222 E Baseline Rd Ste 103
Tempe, AZ 85283-1433

Mailing address

1222 E Baseline Rd Ste 103
Tempe, AZ 85283-1433
Phone (602) 804-1182

National Provider Directory

National Provider Directory
Tax ID family
Bridge to Balance Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1356274344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 E BASELINE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831433",
            "telephone_number": "602-804-1182",
            "fax_number": "602-804-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E BASELINE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831433",
            "telephone_number": "602-804-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO BALANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MYRIO",
        "authorized_official_middle_name": "MARTELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-804-1182"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.