Organization · Type 2 NPI

Building Bridges Outreach LLC

Peer Specialist · Charlotte, NC

NPI number 1245833045 Active

Practice location

6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252

Call (980) 209-4294 Map

Mailing address

250 N Trade St Ste 205
Matthews, NC 28105-9433

Specialties and licenses

Taxonomy	Code	License
Peer Specialist Primary	175T00000X	None listed
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Early Intervention Provider Agency	252Y00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Respite Care	385H00000X	None listed
Child Mental Illness Respite Care	385HR2055X	None listed
Child Physical Disabilities Respite Care	385HR2065X	None listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

7 other providers at this address

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NPI record

NPI: 1245833045
Entity type: Organization (Type 2)
Issued: Nov 16, 2020
Last updated: Feb 10, 2021
Status: Active

Other names

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Building Bridges Outreach LLC · former legal business name
Building Bridges Outreach LLC · former legal business name

Authorized official

Tiffaney Wilson
Owner
(202) 486-9837

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245833045

Building Bridges Outreach LLC's National Provider Identifier is 1245833045, issued on Nov 16, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 10, 2021.