Bridging the Gap Life Skills Mentoring Youth Development

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGING THE GAP LIFE SKILLS MENTORING YOUTH DEVELOPMENT

Practice address

1221 W Chicago St
Chandler, AZ 85224-5230

Phone

(480) 430-5251

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Lester NealNPI 1811595531

Title

Ceo

Phone

(480) 430-5251

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lester Neal

  • Behavior Technician
  • Chandler, AZ
  • NPI 1811595531
  NPD Authorized official
• Kathleen J Dzielinski, LPC

  • Professional Counselor
  • Tempe, AZ
  • NPI 1700070950
  NPD (past)
• Suma Hodge, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1700496718
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1831774579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6741",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466741",
            "telephone_number": "480-430-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W CHICAGO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245230",
            "telephone_number": "480-430-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP LIFE SKILLS MENTORING YOUTH DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-430-5251"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Hertel Pac LLC
• Brian S Page DO LLC
• Bridge to Balance Inc
• Bridges Health Services, Inc.
• Bridges Home Health, Inc.
• Kathryn M Briggs, MC LPC NCC
• Kimberly Briggs, OTR/L
• Maureen Sharon Briggs
• Jace Theodore Bright
• Jerene Bright

• Community/Behavioral Health Agency in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.