Organization Active NPI

Bridges for L.I.F.E. Inc

  • Counseling Psychologist
  • Memphis, TN
National Provider Identifier
1689867467
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
BRIDGES FOR L.I.F.E. INC
Practice address
156 Bellvue Avenue
Memphis, TN 38104-0334
Phone
(901) 517-3406
NPI assigned
Aug 24, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Bridget L Tate
Title
Excutive Manager/Owner
Phone
(901) 517-3406

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

156 Bellvue Avenue
Memphis, TN 38104-0334

Mailing address

PO Box 334
Memphis, TN 38101-0334

National Provider Directory

National Provider Directory

Locations

156 N Bellevue Blvd
Memphis, TN 38104
Phone (901) 517-3406

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1689867467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381010334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 BELLVUE AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381040334",
            "telephone_number": "901-517-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES FOR L.I.F.E. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXCUTIVE MANAGER/OWNER",
        "authorized_official_telephone_number": "901-517-3406"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.