BRIDGE BUILDERS PASTORAL COUNSELING AND PSYCHOTHERAPY (NPI# 1891749610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891749610 |
| Entity Type | Organization |
| Organization Name | BRIDGE BUILDERS PASTORAL COUNSELING AND PSYCHOTHERAPY |
| Practice Address |
5919 Oleander Dr Suite 104 Wilmington NC 28403-4780 |
| Practice Telephone | 9107929888 |
| Practice Fax Number | 9107929883 |
| Mailing Telephone | 9107929888 |
| Mailing Fax Number | 9107929883 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | MR. DOUGLAS M OWEN (PRESIDENT) |
| Authorized Official Telephone | 9107929888 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6006898 | 05 |
| Street Address |
5919 OLEANDER DR SUITE 104 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-4780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700864188 | David Glenn Bunn | Specialist | 5919 Oleander Dr, Suite 109, Wilmington, NC 28403-4757 | 2006-01-05 |
| 1144769431 | Jennifer K. Renshaw | Occupational Therapist | 5919 Oleander Dr, Suite 119, Wilmington, NC 28403-4780 | 2017-02-20 |
| 1780056499 | Kimberly Bradshaw | Speech-Language Pathologist | 5919 Oleander Dr, Wilmington, NC 28403-4780 | 2015-10-21 |
| 1568859353 | Marissa Brezner | Speech-Language Pathologist | 5919 Oleander Dr, Suite 119, Wilmington, NC 28403-4780 | 2015-04-20 |
| 1669700084 | Jennifer C Campbell | Social Worker | 5919 Oleander Dr, Ste 104, Bldg 2, Wilmington, NC 28403-4780 | 2009-11-23 |
| 1124356795 | Speech 4 Kidz | Occupational Therapist | 5919 Oleander Dr, #120, Wilmington, NC 28403-4780 | 2009-11-19 |
| 1659519221 | Lynn Elizabeth Wozniak | Physical Therapy Assistant | 5919 Oleander Dr, Suite 123, Wilmington, NC 28403-4780 | 2009-02-04 |
| 1063677839 | Deanna Sue Johnson | Physical Therapist | 5919 Oleander Dr, Suite 123, Wilmington, NC 28403-4780 | 2008-07-22 |
| 1922275486 | Diane Tomlinson | Speech-Language Pathologist | 5919 Oleander Dr, #119, Wilmington, NC 28403-4780 | 2008-05-14 |
| 1790950392 | Speech 4 Kidz, Inc | Specialist | 5919 Oleander Dr, #119, Wilmington, NC 28403-4780 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175469 | Magnolia Wellness Group, PC | Clinic/Center | 1904 Eastwood Rd Ste 313, Wilmington, NC 28403-5728 | 2018-12-10 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1518929850 | Pace, Inc. | Clinic/Center | 5171 W Woodmill Dr, Suite 9, Wilmington, DE 19808-4067 | 2006-04-03 |
| 1487116430 | Christiana Care Health Initiatives | Clinic/Center | 501 W 14th St Ste 1e40, Wilmington, DE 19801-1013 | 2019-04-01 |
| 1821580093 | Metta Counseling Inc | Clinic/Center | 2601 Annand Dr Ste 7, Wilmington, DE 19808 | 2018-06-04 |
| 1225538267 | Golden Mean Health, Pllc | Clinic/Center | 2311 Canterwood Dr, Wilmington, NC 28401-7300 | 2018-02-16 |
| 1518349000 | Launch Pad Wellness LLC | Clinic/Center | 3121 Wrightsville Ave, Wilmington, NC 28403-4111 | 2015-06-22 |
| 1770986564 | Suburban Psychiatric Services | Clinic/Center | 5177 W Woodmill Dr, Suite 6, Wilmington, DE 19808-4067 | 2014-10-07 |
| 1013345560 | Concord Behavioral Health | Clinic/Center | 1300 Pennsylvania Ave, Wilmington, DE 19806-4311 | 2013-10-20 |
| 1699081950 | Holcomb Associates Inc. | Clinic/Center | 2400 W 4th St, Wilmington, DE 19805-3306 | 2010-08-25 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on BRIDGE BUILDERS PASTORAL COUNSELING AND PSYCHOTHERAPY.
| 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.