BRIDGES TO SUCCESS LLC (NPI# 1255712394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255712394 |
| Entity Type | Organization |
| Organization Name | BRIDGES TO SUCCESS LLC |
| Practice Address |
30 Hazel Ter Suite C Woodbridge CT 06525-2240 |
| Mailing Address |
1674 Ella T Grasso Blvd New Haven CT 06511-2802 |
| Practice Telephone | 2032960690 |
| Practice Fax Number | 2039000690 |
| Mailing Telephone | 2032960690 |
| Mailing Fax Number | 2039000690 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | JUNE RODRIGUEZ (THERAPIST) |
| Authorized Official Telephone | 2032960690 |
| Authorized Official Credential | LPC LADC SAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 000272 | CT | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 002456 | CT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001451205 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Bridges to Success LLC | 11419 Canterberry Ln, Parker, CO 80138 |
| Street Address |
30 HAZEL TER SUITE C |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841591609 | Mallory Anne Grimste | Social Worker | 30 Hazel Ter, Suite 12, Woodbridge, CT 06525-2240 | 2010-11-10 |
| 1447751052 | Christopher M. Lesieur | Counselor | 30 Hazel Ter, Woodbridge, CT 06525-2240 | 2018-02-28 |
| 1427500644 | Wheelz4u LLC | Non-emergency Medical Transport (VAN) | 30 Hazel Ter, Suite 27, Woodbridge, CT 06525-2240 | 2016-11-04 |
| 1285186403 | With Love Home Care Agency | Home Health | 30 Hazel Ter, Suite 27, Woodbridge, CT 06525-2240 | 2016-11-04 |
| 1801249206 | Heart 2 Heart Home Care Solutions | Home Health | 30 Hazel Ter, Suite 24, Woodbridge, CT 06525-2240 | 2016-07-20 |
| 1760896302 | Dove Health Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 30 Hazel Ter, Suite 5, Woodbridge, CT 06525-2240 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
| 1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
| 1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
| 1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
| 1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| Find all providers in zip 06525 | ||||
| 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 |
|---|---|---|---|---|
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1770142697 | Well Living LLC | Community/Behavioral Health | 30 Hazel Ter Ste 20, Woodbridge, CT 06525-2240 | 2019-06-13 |
| 1417412818 | Perseverance Counseling Services LLC | Community/Behavioral Health | 1376 Old Bridge Rd # 101-2, Woodbridge, VA 22192-2708 | 2019-02-10 |
| 1467966739 | Clotilda Choh | Community/Behavioral Health | 4740 Pearson Dr, Woodbridge, VA 22193-5413 | 2017-11-25 |
| 1710432653 | Sucess Matters, LLC | Community/Behavioral Health | 14071 Big Crest Ln, 208, Woodbridge, VA 22191-5573 | 2016-08-21 |
| 1508215542 | Cece Counseling, LLC | Community/Behavioral Health | 19b Hazel Ter, Woodbridge, CT 06525-2209 | 2016-06-09 |
| 1679954630 | The Arc Middlesex County | Community/Behavioral Health | 114 Main St Ste C, Woodbridge, NJ 07095-2820 | 2015-06-16 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1033512199 | About Change, LLC | Community/Behavioral Health | 13190 Centerpointe Way, Woodbridge, VA 22193-5286 | 2014-10-03 |
| 1760828321 | Tiny Tadpoles Behavioral Services, LLC | Community/Behavioral Health | 14060 Big Crest Ln Apt 403, Woodbridge, VA 22191-5537 | 2013-05-21 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 06525 |
Please comment or provide details below to improve the information on BRIDGES TO SUCCESS LLC.
| 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.