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

Bridge to Restoration Therapy Services

Organization Clinical Social Worker · NPI 1033888375

Bridge to Restoration Therapy Services is a Clinical Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2920 Fuller Ave NE Ste 208
Grand Rapids, MI 49505-3458
Phone: (616) 885-2476
Fax: (616) 383-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1033888375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hasina Bankston — Owner · (616) 885-2476
Other names Bridge To Restoration Therapy Services
NPI enumeratedSeptember 9, 2021
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address3373 Sandyhook Ct Se, Kentwood, MI 49512-5281

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