Bridge Family Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIDGE FAMILY THERAPY

Practice address

345 W Hancock Ave
Athens, GA 30601-2595

Phone

(706) 247-1816

NPI assigned

Apr 22, 2022

Last updated

Apr 22, 2022By 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

Nathan Tyler Seabolt

Title

Owner

Phone

(706) 247-1816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1861136251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W HANCOCK AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W HANCOCK AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012595",
            "telephone_number": "706-247-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "SEABOLT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-247-1816"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breaking the Cycle Psychotherapy Services
• Mark Franklin Brechtel, PHD
• Shelby Dianne Brehm, LDO
• Frederick J Breme, PH.D.
• Brian N Brewer, MD
• Candice Leanne Bridges, PTA
• Matthew Taylor Bridges, PHARM.D.
• Phillip Hudson Bridges, MD
• Laura Briggs
• Bright Awakenings Counseling, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Athens, GA
• Providers in Athens, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.