NPIMap

Organization Active NPI

Bridge to Holistic Healing, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1568097608
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BRIDGE TO HOLISTIC HEALING, LLC
Doing business as
Bridge to Holistic Healing, LLC
Practice address
223 N Prospect St Ste 306
Hagerstown, MD 21740-3783
Phone
(240) 767-6966
Fax
(301) 579-0037
NPI assigned
Mar 10, 2020
Organization subpart
Yes
Parent organization
BRIDGE TO HOLISTIC HEALING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Ms. Brenda Lee, MPA
Title
Ceo/Owner
Phone
(240) 767-6966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

223 N Prospect St Ste 306
Hagerstown, MD 21740-3783

Mailing address

223 N Prospect St Ste 306
Hagerstown, MD 21740-3783
Phone (240) 767-6966

Other names 1

  • Bridge to Holistic Healing, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address customerservice@bridgehh.care

National Provider Directory

National Provider Directory
Tax ID family
Bridge to Holistic Healing LLC2 organizations share this tax ID, including this one
Part of
Bridge to Holistic Healing LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1568097608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N PROSPECT ST STE 306",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403783",
            "telephone_number": "240-767-6966",
            "fax_number": "301-579-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N PROSPECT ST STE 306",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403783",
            "telephone_number": "240-767-6966",
            "fax_number": "301-579-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO HOLISTIC HEALING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGE TO HOLISTIC HEALING, LLC",
        "enumeration_date": "2020-03-10",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-767-6966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "customerservice@bridgehh.care",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "address_1": "223 N Prospect St Ste 306",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217403783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bridge to Holistic Healing, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridge to Holistic Healing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.