THE BRIDGE THERAPEUTIC & EVALUATION SERVICES, LLC


Address: 7360 Grace Dr, Columbia, MD 21044-2470
Phone: 2027317352

THE BRIDGE THERAPEUTIC & EVALUATION SERVICES, LLC (NPI# 1235742552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235742552
Entity Type Organization
Organization Name THE BRIDGE THERAPEUTIC & EVALUATION SERVICES, LLC
Practice Address 7360 Grace Dr
Columbia
MD 21044-2470
Mailing Address 7311 Zekiah Ct
Brandywine
MD 20613-5940
Practice Telephone 2027317352
Mailing Telephone 3019387276
Enumeration Date 2020-08-26
Last Update Date 2020-08-26
Authorized Official Name DR. KARENA WILSON-PLATER (OWNER/CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 3019387276
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 7360 GRACE DR
City COLUMBIA
State MD
Zip Code 21044-2470

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861589434 Barbie Johnson-lewis Social Worker 7360 Grace Dr, Columbia, MD 21044-2470 2006-10-06
1518566801 Ebony Nicole Tyler Social Worker 7360 Grace Dr, Columbia, MD 21044-2470 2020-10-19
1386254712 Barbie Johnson-lewis, Lcsw-c, LLC Social Worker 7360 Grace Dr, Columbia, MD 21044-2470 2020-07-31
1487275343 New Vision Counseling, LLC Counselor 7360 Grace Dr, Columbia, MD 21044-2470 2020-05-01
1598392268 Kate Shepard Social Worker 7360 Grace Dr, Columbia, MD 21044-2470 2020-03-24
1033678677 Mary Jane Trotter Massage Therapist 7360 Grace Dr, Columbia, MD 21044-2470 2019-03-13
1548708449 Terri Boyer Marriage & Family Therapist 7360 Grace Dr, Columbia, MD 21044-2470 2017-02-10
1386090405 Brian Davis Social Worker 7360 Grace Dr, Columbia, MD 21044-2470 2016-05-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821699331 Brightview Columbia, LLC Alzheimer Center (Dementia Center) 6670 Martin Road, Columbia, MD 21044 2020-11-03
1689291544 Diana Matthews Physical Therapist 6016 Jerrys Drive, Columbia, MD 21044 2020-06-26
1902380926 Bagiwa Healthcare Services LLC Nursing Care 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 2018-09-17
1295228245 April Bloom Assisted Living, LLC Assisted Living Facility 5037 East Durham Rd, Columbia, MD 21044 2018-06-13
1437659562 La Shawna A Obame Counselor 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 2018-02-15
1205335262 Rashida Annette Winestock Registered Nurse 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 2018-02-06
1215436274 Terri Lynn Buzby Registered Nurse 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 2018-02-06
1134628191 Sarah Elizabeth Stiltner Registered Nurse 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 2018-02-06
1326547381 David Oliver Sloan Jr. Registered Nurse 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 2018-02-06
1467950980 Jill Sheppard Davenport Nutritionist 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 2018-01-30
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215541040 Charles A Burgess Psychologist 119 Parker Hall, Columbia, MO 65211-2340 2020-08-31
1851910335 Columbia Psychology Healing Center LLC Psychologist 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 2020-04-14
1518515097 Warrenetta Crawford Mann Psychologist 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 2019-08-28
1528523420 Daniel Franco Psychologist 4501 Kentsfield Ln, Columbia, MO 65201-3587 2019-02-05
1861964207 Erin Joy Schuyler Psychologist 26 Barn Owl Ct, Columbia, SC 29209-4488 2018-12-26
1467944439 Zixuan Wang Psychologist 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 2018-06-05
1366990384 Amanda Marie Jones Psychologist 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 2016-09-19
1124574850 Patrick Steele Psychologist 1531 Laurel St, Columbia, SC 29201 2016-09-01
1073968061 Tara Acevedo, Psy.d., PC Psychologist 6213 Deep Earth Ln, Columbia, MD 21045-2565 2016-04-27
1467833798 Matthew Edmond Fitzgerald Psychologist 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 2015-06-11
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Competitor

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City COLUMBIA
Zip Code 21044

Improve Information

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Dataset Information

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.

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