Bridge The Gap Addiction And Mental Health Services

LBN: Bridge The Gap Addiction And Mental Health Services
Bridge The Gap Addiction And Mental Health Services is an health care organization with primary practice located at 801 W Broadway, Suite 5 , Louisville KY 40202. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Treatment, Children. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Bridge The Gap Addiction And Mental Health Services can be contacted via phone (502) 417-2566, or through Parrish, Hazel Dell via phone (502) 417-2566.

Contact Information

Primary practice address
801 W Broadway, Suite 5 Louisville KY 40202
Phone: (502) 417-2566
Fax: (502) 305-6578
Website:
Map and Directions
Authorized official contact:
Name: Parrish, Hazel Dell LCADC
Phone: (502) 417-2566

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1078 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Case Management 251B00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1639560915
LBN Legal business name Bridge The Gap Addiction And Mental Health Services
DBA Doing business as Bridge The Gap Addiction And Mental Health Services
Authorized official Parrish, Hazel Dell LCADC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2015
Last updated Nov 22nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639560915 NPPES
Kentucky MEDICAID 71004478660

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