Bridge of Hope Life Transformational Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRIDGE OF HOPE LIFE TRANSFORMATIONAL SERVICES, LLC

Practice address

114 West St S Ste B
Ahoskie, NC 27910-3342

Phone

(252) 862-8505

Fax

(252) 862-8512

NPI assigned

Sep 21, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lakeisha Yvette Walker, LPC, CTPNPI 1437405578

Title

President

Phone

(252) 862-8505

Specialties & licenses 1

Addresses

Locations

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.

• Lakeisha Yvette Walker, LPC, CTP

  • Professional Counselor
  • Ahoskie, NC
  • NPI 1437405578
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1790269124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 QUEBEC RD",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279249488",
            "telephone_number": "252-862-8505",
            "fax_number": "252-862-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WEST ST S STE B",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103342",
            "telephone_number": "252-862-8505",
            "fax_number": "252-862-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF HOPE LIFE TRANSFORMATIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-862-8505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, CTP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHG Lxxxi, LLC (BHG Medical Services - North Carolina)
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• Linda Louise Blackburn, LCSW
• Chonda Sheard Bowser, RN
• Michelle Mustian Boyd, LCSW
• Kimberly C Brittenham, PHARMD
• Karen Brixon-Holloway, FNP
• Erica A Brooks
• Ricky Lorenzo Brooks, M.D.
• Josiah Benjamin Brown II II, DDS

• Professional Counselor in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.