Active NPI
Bridges Family Support
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gastonia, NC
National Provider Identifier
1730964321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BRIDGES FAMILY SUPPORT
- Practice address
- 2922 Audrey Dr
Gastonia, NC 28054-7268 - Phone
- (704) 904-2236
- NPI assigned
- Aug 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffani Squires Singleton
- Title
- Owner/Member
- Phone
- (704) 904-2236
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
2922 Audrey Dr
Gastonia, NC 28054-7268
Mailing address
3121 Strong Box LN
Gastonia, NC 28052-6190
Phone (704) 349-3980
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694995200000",
"number": "1730964321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 STRONG BOX LN",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280526190",
"telephone_number": "704-349-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 AUDREY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547268",
"telephone_number": "704-904-2236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES FAMILY SUPPORT",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-30",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "TIFFANI",
"authorized_official_middle_name": "SQUIRES",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "704-904-2236"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.