Healthcare Provider Details

I. General information

NPI: 1629982335
Provider Name (Legal Business Name): BRIDGEPATH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 SUMMIT AVE STE 300
RICHMOND VA
23230-4339
US

IV. Provider business mailing address

1806 SUMMIT AVE STE 300
RICHMOND VA
23230-4339
US

V. Phone/Fax

Practice location:
  • Phone: 804-441-8421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAMISHA COMPTON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.ED.
Phone: 804-441-8421