Organization Active NPI

Bridges Family Support

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gastonia, NC
National Provider Identifier
1730964321
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 18, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.