Provider Demographics
NPI:1982358578
Name:BRIDGE THE JOURNEY, LLC
Entity Type:Organization
Organization Name:BRIDGE THE JOURNEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAILT THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:470-765-8550
Mailing Address - Street 1:100 POSTMASTER DR UNIT 2282
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-9998
Mailing Address - Country:US
Mailing Address - Phone:470-765-8550
Mailing Address - Fax:
Practice Address - Street 1:5534 OLD NATIONAL HIGHWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349
Practice Address - Country:US
Practice Address - Phone:470-765-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty