BEACON BRIDGE LLC
NPI 1194583864
Community/Behavioral Health in Durham, NC

Q: What is Beacon Bridge LLC's NPI number?

The NPI number for Beacon Bridge LLC is 1194583864. It was assigned to this organization in the NPPES registry on March 7, 2024.

Q: What is Beacon Bridge LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Beacon Bridge LLC was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since March 07, 2024

415 DUNSTAN AVE STE B, DURHAM, NC 27707(984) 377-8576(984) 208-5220 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2024, Apr 9, 2024, Apr 3, 2024 and 1 more (4 updates tracked since 2024).

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About Beacon Bridge Llc NPPES

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

BEACON BRIDGE LLC (NPI 1194583864) is a healthcare organization registered as a community/behavioral health in Durham, North Carolina and active in the NPI registry since March 2024. The organization lists Alexander Peter Yousif, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194583864

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBEACON BRIDGE LLC

Location Address415 DUNSTAN AVE STE BDurham, NC 27707-2390

Mailing Address415 Dunstan Ave Ste BDurham, NC 27707-2390 · (833) 496-0445 · Fax (984) 208-5220

Phone(984) 377-8576

Fax(984) 208-5220

Organization SubpartNo

Authorized OfficialAlexander Peter YousifCeo · (984) 282-6654

Enumeration DateMarch 7, 2024

Last NPPES UpdateDecember 8, 20244 updates tracked since enumeration

NPPES CertifiedDecember 8, 2024

✔ NPI 1194583864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

415 DUNSTAN AVE STE B, Durham, NC 27707

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Other Identifiers 1

OtherMHL-032-642NC · Nc Dhhs Division Of Health Service Regulation

Other Providers at the Same Location NPPES 5

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

MS. KIERA TALEXUS LAWRENCE LCSW-A

Social Worker (Clinical)