Bridgeway Wellness Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRIDGEWAY WELLNESS CENTER LLC

Practice address

350 Lincoln St Ste 2400
Hingham, MA 02043-1579

Phone

(617) 446-3705

NPI assigned

Jul 13, 2020

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latanya Duncan, MA

Title

Co-Owner/Clinician

Phone

(617) 905-8183

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren A Grenier

  • Mental Health Counselor
  • Hingham, MA
  • NPI 1568895605
  NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1356969505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST STE 2400",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579",
            "telephone_number": "617-446-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST STE 2400",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579",
            "telephone_number": "617-446-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "CO-OWNER/CLINICIAN",
        "authorized_official_telephone_number": "617-905-8183",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa M. Boyington, LICSW
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• Andrea Lisa Bross, PH.D.
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• Mental Health Counselor in Hingham, MA
• Providers in Hingham, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.