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NPI 1316797764

NPI 1316797764 : BRIDGEHILL CROSSING LLC : BEREA, OH

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General NPI Number Information
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    NPI Number           |    1316797764
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIDGEHILL CROSSING LLC 
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Dates
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    Enumeration Date     |    03/26/2024
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    Last Update Date     |    01/30/2026
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Provider Practice Location Address
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    Address Line         |    845 W BAGLEY RD 
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    City                 |    BEREA
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    State                |    OH
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    Zip                  |    44017-2903
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    Country              |    US
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    Telephone            |    440-588-8070
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    Fax                  |    440-588-8071
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Provider Business Mailing Address
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    Address Line         |    845 W BAGLEY RD 
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    City                 |    BEREA
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    State                |    OH
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    Zip                  |    44017-2903
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    Country              |    US
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    Telephone            |    440-588-8070
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    Fax                  |    440-588-8071
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRIDGET  RUBEL 
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    Credential           |    
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    Telephone            |    440-588-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    163WA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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