Bridge Consulting Services LLC

Primary specialty

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

Legal business name

BRIDGE CONSULTING SERVICES LLC

Practice address

1700 Needmore Rd
Dayton, OH 45414-3804

Phone

(937) 270-4945

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Terrence E Williams, LICDCNPI 1407340060

Title

Ceo

Phone

(937) 270-4945

Specialties & licenses 1

Addresses

Other names 1

• Bridge Consulting Services LLC Other name

Tax ID family

Bridge Consulting Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bridge Consulting Services LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1427820091
  NPD tax ID

Locations

Practitioners 1

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

• Terrence Williams

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, OH
  • NPI 1407340060
  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1932801461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 BELLE ISLE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454393236",
            "telephone_number": "937-270-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NEEDMORE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143804",
            "telephone_number": "937-270-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-270-4945",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICDC"
    },
    "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": "Bridge Consulting Services LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bridge Consulting Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Ann Bricker, LISW-S
• Keith Bricking, M.D.
• Laura Gene Bricklin, MD
• Ethan Tyler Brickman, DO
• Bridge Consulting Services LLC
• Bridge of Care Group Home LLC
• Amberlee Bridgeforth
• Annquinniece Bridgeman
• Paula Kent Bridgeman, LPCC
• Carla M Bridges, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.