Organization Active NPI

Healing Bridge Detox Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Louisville, KY
National Provider Identifier
1831050483
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Nov 22, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.