Bridges for Change, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

11834 Issued in GA

Legal business name

BRIDGES FOR CHANGE, INC.

Practice address

54 Harris St.
Reynolds, GA 31076

Phone

(478) 787-8608

Fax

(478) 847-3356

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Marva White

Title

Ceo/Director

Phone

(478) 787-8608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1669737318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "310760221",
            "telephone_number": "478-787-8608",
            "fax_number": "478-847-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HARRIS ST.",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "31076",
            "telephone_number": "478-787-8608",
            "fax_number": "478-847-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES FOR CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "478-787-8608",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "11834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Reynolds, GA
• Providers in Reynolds, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.