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BRIDGING THE GAP WELLNESS CENTER LLC
NPI 1194430660
Clinic/Center - Mental Health (Including Community Mental Health Center) in Longs, SC

Active since January 19, 2023
2126 HIGHWAY 9 E UNIT 5B, LONGS, SC 29568(478) 361-2126 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridging The Gap Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGING THE GAP WELLNESS CENTER LLC (NPI 1194430660) is a healthcare organization registered as a mental health (including community mental health center) in Longs, South Carolina and active in the NPI registry since January 2023. The organization lists Taraka Taylor-moultrie, Director, as its authorized official.

NPPES Registry Identity

NPI1194430660
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRIDGING THE GAP WELLNESS CENTER LLC
Location Address2126 HIGHWAY 9 E UNIT 5BLongs, SC 29568-5725
Mailing Address780 Charter Dr Unit B11Longs, SC 29568-5833 · (478) 361-2126
Phone(478) 361-2126
Organization SubpartNo
Authorized OfficialTaraka Taylor-moultrieDirector · (478) 361-2126
Enumeration DateJanuary 19, 2023
NPPES CertifiedMay 24, 2022
✔ NPI 1194430660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2126 HIGHWAY 9 E UNIT 5B, Longs, SC 29568
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PHILLIP DOUGLAS CLARK SR.
Home Health Aide
2126 HIGHWAY 9 E UNIT 5B
LONGS, SC 29568
Horry County (843) 353-8664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridging The Gap Wellness Center LLC's NPI number?

The NPI number for Bridging The Gap Wellness Center LLC is 1194430660. It was assigned to this organization in the NPPES registry on January 19, 2023.

Where is Bridging The Gap Wellness Center LLC located?

Bridging The Gap Wellness Center LLC is located at 2126 Highway 9 E Unit 5B, Longs, SC 29568. The listed phone number is (478) 361-2126.

What is Bridging The Gap Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bridging The Gap Wellness Center LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.