OrganizationActive
Bridging the Gap Wellness Center LLC
NPI 1194430660 · Mental Health Clinic/Center (Including Community Mental Health Center) · Longs, SC
Provider details
- NPI number
- 1194430660
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Taraka Taylor-Moultrie, Director
Mailing address
780 Charter Dr Unit B11
Longs, SC 29568-5833
Registry dates
- Enumerated
- 2023-01-19
- Last updated
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.