Provider Demographics
NPI:1568509073
Name:BRIDGES OF HOPE, INC.
Entity Type:Organization
Organization Name:BRIDGES OF HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:BA, QDDP, QMHP
Authorized Official - Phone:252-321-1621
Mailing Address - Street 1:202 E ARLINGTON BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5021
Mailing Address - Country:US
Mailing Address - Phone:252-321-1621
Mailing Address - Fax:
Practice Address - Street 1:214 E ARLINGTON BLVD STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5023
Practice Address - Country:US
Practice Address - Phone:252-321-1621
Practice Address - Fax:252-321-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5950612Medicaid
NC6006332Medicaid
NC8301943Medicaid
NC2347834Medicare UPIN