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

Bridge Residential LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1528822350

Bridge Residential LLC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
11
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7011 S 30th Ln
Phoenix, AZ 85041-9313
Phone: (602) 354-9252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X
Psychiatry Physician Taxonomy 2084P0800X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1528822350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wildine Burgess — Exec Admin · (602) 354-9252
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing addressPo Box 51382, Phoenix, AZ 85076-1382

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