Bridge of Hope Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGE OF HOPE COUNSELING SERVICES, LLC

Doing business as

Jackie D Dixon

Practice address

904 N Miller Ave
Bainbridge, GA 39817-2640

Phone

(229) 416-6155

NPI assigned

May 6, 2024

Last updated

May 6, 2024By 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

Ms. Jackie Denise Dixon, LCSWNPI 1447528526

Title

Owner/ Therapist

Phone

(229) 416-6155

Specialties & licenses 1

Addresses

Other names 1

• Jackie D Dixon Doing business as

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.

• Jackie Denise Dixon, LCSW

  • Clinical Social Worker
  • Bainbridge, GA
  • NPI 1447528526
  NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1679320709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N MILLER AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398172640",
            "telephone_number": "229-416-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N MILLER AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398172640",
            "telephone_number": "229-416-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF HOPE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "229-416-6155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackie D Dixon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David N. Beauchamp, DDS
• Andre Q Bell
• Anna Lewis Bell, SLP
• David Lee Breault, LPC
• Bridge Behavior Consulting LLC
• Benjamin Henry Taylor Bridges, MD
• Katherine Szakal Bridges, PA
• Marcia Willis Brock, PHARMD
• Marty Dewayne Brock, M.A., CCAADC
• Winston B Brock, RPH

• Community/Behavioral Health Agency in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.