BRIDGEWAY BEHAVIORAL HEALTH, INC. (NPI# 1982936852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982936852 |
Entity Type | Organization |
Organization Name | BRIDGEWAY BEHAVIORAL HEALTH, INC. |
Practice Address |
5209 W Wendover Ave High Point NC 27265-9177 |
Mailing Address |
1570 S Main St Saint Charles MO 63303-4149 |
Practice Telephone | 3368453988 |
Mailing Telephone | 6367572200 |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |
Authorized Official Name | MIKE MORRISON (PRESIDENT/CEO) |
Authorized Official Telephone | 6367572200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6006604 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083946958 | Bridgeway Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2010-02-03 |
1285804203 | Bridgeway Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2008-03-05 |
Street Address |
5209 W WENDOVER AVE |
City | HIGH POINT |
State | NC |
Zip Code | 27265-9177 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285735068 | Alcohol and Drug Services Guilford | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2006-09-26 |
1609489293 | Raveen Boykin | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2020-08-25 |
1548870371 | Kadeejah Miller | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2020-08-06 |
1093348153 | Phyllis Lovette Ruff | Licensed Practical Nurse | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2020-02-18 |
1124669957 | Jacqueline Barnes | Clinical Nurse Specialist | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-10-02 |
1700434479 | Shamberal Renetia Stewart | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-08-27 |
1821657818 | Terri I Willard | Social Worker | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-06-12 |
1437717170 | Brittney Nicole Greene | Social Worker | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2019-05-29 |
1043782691 | Queen Elizabeth Gooch | Counselor | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2018-12-20 |
1558847632 | Lashanda Monique Adams | Registered Nurse | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2018-07-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467066985 | Rowanty N. Jenkins | Registered Nurse | 4305 Holstein Drive, High Point, NC 27265 | 2020-09-02 |
1407355704 | Triad Pediatrics, PC | Pediatrics | 2754 Hwy 68, Suite 111, High Point, NC 27265 | 2018-02-02 |
1942730452 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Dr., Suite 104, High Point, NC 27265 | 2017-06-16 |
1992235642 | Gina Cobb Davis | Registered Nurse | 2215 Hickswood Rd., High Point, NC 27265 | 2017-06-15 |
1700316395 | Jennifer George | Specialist/Technologist | 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 | 2017-06-15 |
1730530510 | Safe Living Solutions | Contractor | 2209 Eastchester Dr., Ste 109, High Point, NC 27265 | 2016-06-23 |
1528412087 | Johnette Walser | Social Worker | 2411 Penny Road, Suite 102, High Point, NC 27265 | 2016-04-20 |
1093143489 | Debbie Schmitz | Specialist | 801 Lindsay St. Suite E, High Point, NC 27265 | 2013-10-22 |
1164786034 | Janice Rene' Swanson | Dietitian, Registered | 4515 Premier Dr Ste 401, High Point, NC 27265 | 2012-06-26 |
1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
Find all providers in zip 27265 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487843124 | Caring Services Incorporated | Substance Abuse Rehabilitation Facility | 102 Chestnut Dr, Post Office Box 6219, High Point, NC 27262-6804 | 2007-10-18 |
1285735068 | Alcohol and Drug Services Guilford | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2006-09-26 |
1043512486 | Daymark Recovery Services Inc | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2010-11-17 |
1083946958 | Bridgeway Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2010-02-03 |
1285804203 | Bridgeway Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 5209 W Wendover Ave, High Point, NC 27265-9177 | 2008-03-05 |
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1982212874 | Hall Empowerment Network | Substance Abuse Rehabilitation Facility | 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 | 2020-07-16 |
1710504642 | The Awakening Wellness Clinic, Inc | Substance Abuse Rehabilitation Facility | 8 Carver Rd, Jacksonville, NC 28540-7010 | 2020-06-26 |
1609408269 | Pear Tree Peace Community Economic Development Corporation | Substance Abuse Rehabilitation Facility | 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 | 2020-02-11 |
1396383352 | Deerhaven Gardens, LLC. | Substance Abuse Rehabilitation Facility | 66 N Deerhaven Ln, Asheville, NC 28803-0120 | 2019-12-20 |
1255973210 | Blissfully Supported LLC | Substance Abuse Rehabilitation Facility | 645 Dunbrook Ln, Charlotte, NC 28217-3405 | 2019-10-11 |
1235785726 | Eighth Month Ventures, LLC | Substance Abuse Rehabilitation Facility | 405 Franklin Blvd, Greensboro, NC 27401-4610 | 2019-08-12 |
1538720396 | Adaptive Interventions Group, LLC | Substance Abuse Rehabilitation Facility | 107 Robinson Dr, Cherryville, NC 28021-8100 | 2019-06-24 |
1356813802 | Red Oak Adolescent Recovery LLC | Substance Abuse Rehabilitation Facility | 517 Cub Creek Rd, Ellenboro, NC 28040-8733 | 2018-12-21 |
1619475308 | Titan Holding Group, LLC | Substance Abuse Rehabilitation Facility | 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 | 2018-01-27 |
Find all providers with the same taxonomy |
City | HIGH POINT |
Zip Code | 27265 |
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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.