# BRIDGE TO HOLISTIC HEALING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIDGE TO HOLISTIC HEALING, LLC
- **Other names:** Bridge to Holistic Healing, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295360337
- **Legal business name:** BRIDGE TO HOLISTIC HEALING, LLC
- **Authorized official:** BRENDA LEE MPA (CEO/OWNER)
- **Authorized official phone:** (240) 767-6966

## Contact information

- **Practice address:** 223 N PROSPECT ST STE 306, HAGERSTOWN, MD 21740-3783
- **Practice address phone:** (240) 767-6966
- **Practice address fax:** (301) 579-0037
- **Mailing address:** 223 N PROSPECT ST STE 306, HAGERSTOWN, MD 21740-3783
- **Mailing address phone:** (240) 767-6966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 02/11/2021