BRIDGING THE GAP , LLC (NPI# 1134750847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134750847 |
| Entity Type | Organization |
| Organization Name | BRIDGING THE GAP , LLC |
| Practice Address |
1829 Wrightsboro Rd Augusta GA 30904-2010 |
| Practice Telephone | 7063992628 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | MRS. WANDA LASHELLE SANFERS (CEO) |
| Authorized Official Telephone | 7063992628 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Bridging The Gap LLC | Former Legal Business Name - Organization |
| Street Address |
1829 WRIGHTSBORO RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548460124 | Sarah Faith Shelton | Psychologist | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2007-07-20 |
| 1548871080 | Yolanda Shanta Danforth | Counselor | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2020-08-10 |
| 1588133136 | Fayette Mcdonald | Counselor | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431057 | Whitney O'connor | Counselor | 1232 Hickman Rd, Augusta, GA 30904-4733 | 2020-06-15 |
| 1093339186 | Kari Viola-brooke | Counselor | 2707 Downing St, Augusta, GA 30909-3734 | 2020-06-03 |
| 1477182541 | Wanda Joy Roberts | Counselor | 250 Milledge Rd, Augusta, GA 30904-3577 | 2020-04-02 |
| 1376182527 | Colisha Marie Amos | Counselor | 1761 Kissingbower Rd, Augusta, GA 30904-6615 | 2020-01-04 |
| 1730746009 | Kimberly Bridi | Counselor | 3351 Wrightsboro Rd Ste 301, Augusta, GA 30909-2838 | 2019-05-22 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1396226445 | Suzanah Richelle Schoen | Counselor | 2821 South Brookside Drive, Augusta, KS 67010-2433 | 2018-08-27 |
| 1891203345 | Community Service Board of East Central Georgia | Counselor | 1253 Greene St, Augusta, GA 30901-2127 | 2018-01-18 |
| 1851826267 | Denise Finney | Counselor | 2820 Hillcreek Dr, Suite A, Augusta, GA 30909-5628 | 2017-04-23 |
| 1043757818 | Marc Story | Counselor | 315 W 4th St Apt 6, Augusta, KY 41002-1089 | 2017-01-31 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.