BRIDGES TO RECOVERY, LLC (NPI# 1518495779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518495779 |
| Entity Type | Organization |
| Organization Name | BRIDGES TO RECOVERY, LLC |
| Practice Address |
7607 Fern Ave Ste 902-903 Shreveport LA 71105-5739 |
| Practice Telephone | 3185249954 |
| Practice Fax Number | 3185249953 |
| Mailing Telephone | 3185249954 |
| Mailing Fax Number | 3185249953 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | KIMBERLY BROWN (CO-OWNER) |
| Authorized Official Telephone | 3189900168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861879116 | Bridges To Recovery, LLC | Psychiatric Residential Treatment Facility | 1460 San Remo Dr, Pacific Palisades, CA 90272-2737 | 2015-05-06 |
| Street Address |
7607 FERN AVE STE 902-903 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277030 | Lashonda Moore | Case Manager/Care Coordinator | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2019-07-19 |
| 1225510217 | Linda Johnson | Counselor | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2018-09-05 |
| 1972084325 | Trina Bailey | Counselor | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 |
|---|---|---|---|---|
| 1558926113 | Renew Therapeutic Services, LLC | Community/Behavioral Health | 2924 Knight St Ste 424, Shreveport, LA 71105-2413 | 2019-05-08 |
| 1053818641 | Agape Love Counseling Service LLC | Community/Behavioral Health | 1513 Line Ave Ste 240, Shreveport, LA 71101-4621 | 2018-04-10 |
| 1851891865 | Magnolia Mental Health LLC | Community/Behavioral Health | 7629 Pines Rd, Shreveport, LA 71129-3905 | 2018-02-15 |
| 1891202776 | Allcare of Louisiana, Inc. | Community/Behavioral Health | 4615 Monkhouse Dr Ste 116, Shreveport, LA 71109-6123 | 2018-01-02 |
| 1467979708 | Finding A Better Me | Community/Behavioral Health | 2924 Knight St Ste 420, Shreveport, LA 71105-2413 | 2017-08-28 |
| 1790210805 | Acenter for Hope and Change | Community/Behavioral Health | 6811 Sagewood Dr, Shreveport, LA 71129-9423 | 2017-04-26 |
| 1497289979 | Serenity Behavioral Health Service LLC | Community/Behavioral Health | 2000 Creswell Ave, Shreveport, LA 71104-2202 | 2017-04-12 |
| 1699212696 | Shenells | Community/Behavioral Health | 2120 N Hearne Ave Apt 403, Shreveport, LA 71107-7183 | 2017-01-27 |
| 1669918199 | Street Outreach Solutions,llc | Community/Behavioral Health | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-01-08 |
| 1700320314 | Contemporary Family Solutions | Community/Behavioral Health | 410 Brushy Bayou Blvd, Shreveport, LA 71106-6900 | 2016-12-15 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on BRIDGES TO RECOVERY, 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.