Active NPI
Healing Bridge Detox Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Louisville, KY
National Provider Identifier
1831050483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- HEALING BRIDGE DETOX CENTER
- Practice address
- 11849 Nansemond PL
Louisville, KY 40245-1763 - Phone
- (502) 438-3780
- Fax
- (502) 280-1487
- NPI assigned
- Nov 22, 2025
- 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
- Stephanie Gail Hall
- Title
- Owner
- Phone
- (502) 438-3780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
11849 Nansemond PL
Louisville, KY 40245-1763
Mailing address
11849 Nansemond PL
Louisville, KY 40245-1763
Phone (502) 438-3780
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763769600000",
"number": "1831050483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11849 NANSEMOND PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402451763",
"telephone_number": "502-438-3780",
"fax_number": "502-280-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11849 NANSEMOND PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402451763",
"telephone_number": "502-438-3780",
"fax_number": "502-280-1487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING BRIDGE DETOX CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-22",
"last_updated": "2025-11-22",
"certification_date": "2025-11-22",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-438-3780"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.