Bridgeway Recovery Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIDGEWAY RECOVERY CENTER, LLC

Practice address

112 E Moore St
Valdosta, GA 31602-2911

Phone

(229) 469-7518

NPI assigned

May 18, 2020

Last updated

Feb 18, 2025By 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

Calvitt J Huxford

Title

Ceo

Phone

(229) 563-2412

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• Cassandra M. Avellaneda, LMHC, LPC

  • Professional Counselor
  • Valdosta, GA
  • NPI 1073981239
  NPD
• Sabrina Daniels, MSW

  • Social Worker
  • Valdosta, GA
  • NPI 1467349183
  NPD
• Anna Osborne, LMFT

  • Marriage & Family Therapist
  • Valdosta, GA
  • NPI 1881281970
  NPD
• Joyann Renee Flint

  • Mental Health Counselor
  • Valdosta, GA
  • NPI 1831007046
  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1821610452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E MOORE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022911",
            "telephone_number": "229-469-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MOORE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022911",
            "telephone_number": "229-469-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "HUXFORD",
        "authorized_official_first_name": "CALVITT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-563-2412"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Bridgers, DPT
• Ashley Dawn Bridges, CPNP
• Johnna Johnson Bridges, PA-C
• Judy A Bridges
• William Jackson Bridges Jr., LMT,CNMT
• Dustin H. Brimblecom, M.D.
• Jasmine Lashae Brinson
• Lori Broadaway, BA, CD(DONA), LCCE
• James Charles Broadfoot, D.M.D.
• Revajo S. Broadwater, PT

• Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.