Active NPI
Bridge Mental Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Laurel, MD
National Provider Identifier
1831920552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BRIDGE MENTAL HEALTH LLC
- Doing business as
- ACHIEVE PLUS MENTAL HEALTH SERVICES LLC
- Practice address
- 8337 Cherry LN Ste B
Laurel, MD 20707-4828 - Phone
- (443) 464-1009
- NPI assigned
- Aug 13, 2024
- 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
- Jessie Costley
- Title
- Credentialing Specialist
- Phone
- (443) 839-6928
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
8337 Cherry LN Ste B
Laurel, MD 20707-4828
Mailing address
PO Box 993
Abingdon, MD 21009-0993
Other names 1
- ACHIEVE PLUS MENTAL HEALTH SERVICES LLC
National Provider Directory
National Provider DirectoryLocations
8337 Cherry Ln
Ste B
Laurel, MD 20707
Phone (410) 324-0599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1831920552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 993",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210090993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8337 CHERRY LN STE B",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074828",
"telephone_number": "443-464-1009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "COSTLEY",
"authorized_official_first_name": "JESSIE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "443-839-6928"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ACHIEVE PLUS MENTAL HEALTH SERVICES LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.