=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457205254
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRIGID'S PATH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2026
-----------------------------------------------------
Last Update Date | 02/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3601 S DIXIE DR
-----------------------------------------------------
City | MORAINE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45439-2307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-350-1785
-----------------------------------------------------
Fax | 216-674-1644
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3601 S DIXIE DR
-----------------------------------------------------
City | MORAINE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45439-2307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-350-1785
-----------------------------------------------------
Fax | 216-674-1644
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS AND HR
-----------------------------------------------------
Name | TERRI STUCKY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 937-350-1785
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251V00000X
-----------------------------------------------------
Taxonomy Name | Voluntary or Charitable Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------