Healthcare Provider Details

I. General information

NPI: 1750207288
Provider Name (Legal Business Name): BRIDGEWALK SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 SANFORD ST APT 1
EAST ORANGE NJ
07018-1132
US

IV. Provider business mailing address

239 SANFORD ST APT 1
EAST ORANGE NJ
07018-1132
US

V. Phone/Fax

Practice location:
  • Phone: 832-231-7095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHOICE O MURRAY
Title or Position: MANAGER
Credential:
Phone: 832-231-7095