Bridgewell Alliance, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

BRIDGEWELL ALLIANCE, LLC

Practice address

1999 Parker CT
Stone Mountain, GA 30087-3651

Phone

(678) 599-2798

NPI assigned

May 12, 2026

Last updated

May 12, 2026By 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

Latonya Donald, PH.D.

Title

Executive Director

Phone

(678) 599-2798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1457289019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 LOST CREEK CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882119",
            "telephone_number": "678-599-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 PARKER CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873651",
            "telephone_number": "678-599-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWELL ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-599-2798",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.