A Bridge of Hope, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

A BRIDGE OF HOPE, LLC

Practice address

3614 N 85TH St
Milwaukee, WI 53222-2813

Phone

(608) 598-8963

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Tam' Meka Berry, MS, LPC-SAS-DMFT

Title

Ceo

Phone

(262) 330-9528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1952986408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13112",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532130112",
            "telephone_number": "262-330-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 N 85TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222813",
            "telephone_number": "608-598-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIDGE OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TAM' MEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-330-9528",
        "authorized_official_credential": "MS, LPC-SAS-DMFT"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.