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

Bridging the Gap with Life Skills

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1659412997

Bridging the Gap with Life Skills is an Emotionally Disturbed Childrens' Residential Treatment Facility in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

2507 Blackwolf Run Ln
Raleigh, NC 27604-5425
Phone: (919) 250-9546
Fax: (919) 250-7569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL092571 (NC)

Record details

NPI number1659412997
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLife Skills Counseling, PLLC
Authorized official Tammy Worthington — Quality Servies Director · (919) 833-2544
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 20, 2007
Mailing address204 N Person St, Raleigh, NC 27601-1047

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