Mahogany Bridges Mental Health Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MAHOGANY BRIDGES MENTAL HEALTH SERVICES LLC

Practice address

2555 S Dixie Dr Ste 102
Dayton, OH 45409-1532

Phone

(937) 342-3955

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Marquita Lashawn Thompson, LPCCNPI 1578051413

Title

Ceo

Phone

(937) 342-3955

Specialties & licenses 1

Addresses

Tax ID family

Mahogany Bridges Mental Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mahogany Bridges Mental Health Services LLC

  • Mental Health Counselor
  • Dayton, OH
  • NPI 1730846478
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marquita Lashawn Thompson, MA, LPC

  • Mental Health Counselor
  • Monroe, OH
  • NPI 1578051413
  NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1699511162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 HENDERSON RD STE 1750",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 102",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091532",
            "telephone_number": "937-342-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY BRIDGES MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-342-3955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Mahaney, PEER SUPPORT
• Mary Doyal Maher, MD
• Andy Mahle
• Robert Matthias Mahle, D.D.S.
• Chelsey Mahler
• Mahogany Bridges Mental Health Services LLC
• Laura Mahon
• Mahoney Health Services, Inc
• Nicoletta Maienza
• Andrew Maigur, MD

• Mental Health Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.