Bridge Over Barriers Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRIDGE OVER BARRIERS COUNSELING LLC

Practice address

2639 Bridgewater Dr
Grand Prairie, TX 75054-7229

Phone

(214) 604-6724

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Eboni SamuelNPI 1881305464

Title

Ceo/Owner

Phone

(214) 604-6724

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eboni Samuel

  • Professional Counselor
  • Grand Prairie, TX
  • NPI 1881305464
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1730894643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 BRIDGEWATER DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 BRIDGEWATER DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547229",
            "telephone_number": "214-604-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OVER BARRIERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "EBONI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "214-604-6724"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.