Golan Bridge Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GOLAN BRIDGE WELLNESS CENTER LLC

Doing business as

Golan Bridge Wellness Center

Practice address

440 Monticello Ave Ste 1867
Norfolk, VA 23510-2571

Phone

(757) 346-2110

Fax

(757) 687-9927

NPI assigned

Jul 17, 2025

Organization subpart

No

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

Authorized official

Name

Gabadiah McClay

Title

Manger

Phone

(404) 820-9900

Specialties & licenses 1

Addresses

Other names 1

• GOLAN BRIDGE WELLNESS CENTER Doing business as

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1467344093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE STE 1867",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102571",
            "telephone_number": "757-346-2110",
            "fax_number": "757-687-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE STE 1867",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102571",
            "telephone_number": "757-346-2110",
            "fax_number": "757-687-9927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Waterside Dr Apt 624",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102127",
            "country_code": "US",
            "telephone_number": "757-346-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLAN BRIDGE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "MCCLAY",
        "authorized_official_first_name": "GABADIAH",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "404-820-9900"
    },
    "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": [
        {
            "organization_name": "GOLAN BRIDGE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOLAN BRIDGE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.