Bridging the Gap Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIDGING THE GAP COUNSELING SERVICES

Practice address

184 Camellia PL
Grambling, LA 71245-2320

Phone

(318) 331-3977

NPI assigned

Dec 5, 2016

Last updated

Dec 5, 2016By 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

Ms. Felicia Renee Douglas, MATNPI 1558815506

Title

Director

Phone

(318) 331-3977

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Felicia Douglas

  • Case Manager/Care Coordinator
  • Ruston, LA
  • NPI 1558815506
  NPD Authorized official

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1922542315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CAMELLIA PL",
            "city": "GRAMBLING",
            "state": "LA",
            "postal_code": "712452320",
            "telephone_number": "318-331-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CAMELLIA PL",
            "city": "GRAMBLING",
            "state": "LA",
            "postal_code": "712452320",
            "telephone_number": "318-331-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-331-3977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MAT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435397178",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A&G Medical Transportation, LLC
• Alliance Transportation
• Community Center LLC
• Brandon Crew
• Suzanne Showntay Douglas Green, PHD
• Gordan Ford
• Lynda Franklin

• Community/Behavioral Health Agency in Grambling, LA
• Providers in Grambling, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.