SOUTHERN BRIDGE COUNSELING, LLC (NPI# 1891156758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891156758 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BRIDGE COUNSELING, LLC |
| Practice Address |
3100 Moody Rd Ste. A Bonaire GA 31005 |
| Practice Telephone | 4784491475 |
| Practice Fax Number | 8888136815 |
| Mailing Telephone | 4784491475 |
| Mailing Fax Number | 8888136815 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | MRS. NEVA EVANS (CO-OWNER) |
| Authorized Official Telephone | 4782838322 |
| 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 |
|---|---|---|---|---|
| 1326407453 | Southern Bridge Counseling, LLC | Community/Behavioral Health | 100 Shoshone Circle, Kathleen, GA 31047 | 2016-02-17 |
| Street Address |
3100 MOODY RD STE. A |
| City | BONAIRE |
| State | GA |
| Zip Code | 31005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010211 | Christine Anne Hasbrouck | Nurse Practitioner | 257 Southfiled Court, Bonaire, GA 31005 | 2019-12-13 |
| 1518478023 | Cathleen Ann Cleary | Psychiatry & Neurology | 106 Julee Emilyn Drive, Bonaire, GA 31005 | 2017-10-24 |
| 1780107060 | Laura Lenhard Frawley | Nurse Practitioner | 220 Cardiff Court, Bonaire, GA 31005 | 2017-07-19 |
| 1104203926 | Georgia Chiropractic and Wellness LLC | Chiropractor | 100 Stillwater Circle, Suite C, Bonaire, GA 31005 | 2015-04-30 |
| 1891197067 | Ashlee Zackeru Chafin | Nurse Anesthetist, Certified Registered | 706 Summer Ct, Bonaire, GA 31005 | 2014-09-19 |
| 1699199018 | Michelle Marie Allen | Nurse Practitioner | 774 Ga Hwy 96, Bonaire, GA 31005 | 2014-02-05 |
| 1437597168 | Lana Alden Dellinger | Physical Therapist | 101 Stillwater Circle, Bonaire, GA 31005 | 2013-06-04 |
| 1215154810 | Joseph F Mcdaniel | Pharmacist | 785 Hwy 96, Bonaire, GA 31005 | 2007-04-18 |
| 1932229242 | Marla Winge Baltz | Pharmacist | 785 Hwy. 96, Bonaire, GA 31005 | 2007-03-30 |
| 1336278019 | Robert Ferris Adams | Marriage & Family Therapist | 479 Hwy 96, Bonaire, GA 31005 | 2007-03-05 |
| Find all providers in zip 31005 | ||||
| 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 |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.