Bridgepath Inc

LBN: Bridgepath Inc
Bridgepath Inc is an health care organization with primary practice located at 3900-B Park Rd , Charlotte NC 28209. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Bridgepath Inc can be contacted via phone (704) 577-5862, or through Pruett, Jean Smith via phone (704) 651-2895.

Contact Information

Primary practice address
3900-B Park Rd Charlotte NC 28209
Phone: (704) 577-5862
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pruett, Jean Smith D.MIN., LPC, HTCP/I
Phone: (704) 651-2895

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 2004 North Carolina
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 4663 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 15 South Carolina

Profile Details

NPI number 1578951109
LBN Legal business name Bridgepath Inc
DBA Doing business as
Authorized official Pruett, Jean Smith D.MIN., LPC, HTCP/I
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2015
Last updated Feb 17th, 2017 - about 9 years ago

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 1578951109 NPPES
Other 1407831571 NPI
Other 1801872445 NPI

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