Healthcare Provider Details

I. General information

NPI: 1407431992
Provider Name (Legal Business Name): BRIDGE2HEALTHCARE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 PORTSMOUTH AVE
TOLEDO OH
43613-4416
US

IV. Provider business mailing address

2251 PORTSMOUTH AVE
TOLEDO OH
43613-4416
US

V. Phone/Fax

Practice location:
  • Phone: 567-277-3077
  • Fax:
Mailing address:
  • Phone: 567-277-3077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MAJ-BRITT STEVENS
Title or Position: OWNER
Credential: RN
Phone: 567-277-3077