Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridge Back to Life Inc

Organization Mental Health Counselor · NPI 1194132175

Bridge Back to Life Inc is a Mental Health Counselor in Bethpage, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4271 Hempstead Tpke
Bethpage, NY 11714-5708
Phone: (516) 520-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 003103 (NY)

Record details

NPI number1194132175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Butchen — Executive Direc Tor · (212) 679-4960
NPI enumeratedJuly 22, 2014
Last updated in NPPESJuly 22, 2014
Mailing address4271 Hempstead Tpke, Bethpage, NY 11714-5708

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