Healthcare Provider Details

I. General information

NPI: 1497663322
Provider Name (Legal Business Name): BUILDING BRIDGES CONSULTANT AND RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44216 63RD ST W
LANCASTER CA
93536-7546
US

IV. Provider business mailing address

43603 ELM AVE
LANCASTER CA
93534-4947
US

V. Phone/Fax

Practice location:
  • Phone: 323-892-6093
  • Fax:
Mailing address:
  • Phone: 323-892-6093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: LATICIA BRIDGES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 323-892-6093