BRIDGING THE GAP HOLISTIC SERVICES, LLC (NPI# 1184071714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184071714 |
| Entity Type | Organization |
| Organization Name | BRIDGING THE GAP HOLISTIC SERVICES, LLC |
| Practice Address |
3238 Village Dr Fairfield OH 45014-8119 |
| Practice Telephone | 5138842414 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | MARIELLA RICHARDSON (THERAPIST) |
| Authorized Official Telephone | 5138842414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | I. 1000213-SUPV | OH | Agencies |
| Street Address |
3238 VILLAGE DR |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497202600 | Foster Richardson Mental Health Counseling | Social Worker | 3238 Village Dr, Fairfield, OH 45014-8119 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1891280368 | Jennifer Jasmine Aguilar | Community/Behavioral Health | 2357 Morrison Ln, Fairfield, CA 94534-9746 | 2018-06-27 |
| 1104289594 | Center for Childrens Behavioral Health Incorporated | Community/Behavioral Health | 356 Horseneck Rd, Fairfield, NJ 07004-1610 | 2016-04-01 |
| 1619341153 | Summit Counseling Services, Pllc | Community/Behavioral Health | 201 1st Ave N, Fairfield, MT 59436 | 2015-11-20 |
| 1528450301 | Judy Elizabeth Mcclure | Community/Behavioral Health | 808 N 4th St, Fairfield, IA 52556-2203 | 2015-03-03 |
| 1326397019 | Franz Rudas | Community/Behavioral Health | 644 Antiquity Dr, Fairfield, CA 94534-4050 | 2012-09-10 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1821309980 | Fedcap Rehabilitation Services, Inc. | Community/Behavioral Health | 373 Route 46 W, Bldg. D Suite 110, Fairfield, NJ 07004-2442 | 2010-06-23 |
| 1275760282 | Family Preservation Services, Inc. | Community/Behavioral Health | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2009-06-17 |
| 1265677637 | Family Preservation Services, Inc | Community/Behavioral Health | 20 Fairfield School Rd, Fairfield, VA 24435 | 2008-12-12 |
| Find all providers in FAIRFIELD | ||||
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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.