Healthcare Provider Details

I. General information

NPI: 1548146822
Provider Name (Legal Business Name): THE BRIDGE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4229 LAFAYETTE CENTER DR STE 1200
CHANTILLY VA
20151-1265
US

IV. Provider business mailing address

4229 LAFAYETTE CENTER DR STE 1200
CHANTILLY VA
20151-1265
US

V. Phone/Fax

Practice location:
  • Phone: 202-941-7637
  • Fax:
Mailing address:
  • Phone: 202-941-7637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ADAM MICHAEL HILLER
Title or Position: OWNER
Credential: LCSW
Phone: 202-941-7637