# BRIDGE TO EQUITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588487193
- **Authorized official:** MRS. ANTOINETTE LEONARD-JEANCHARLES CPT, CN, OCP (FOUNDER)
- **Authorized official phone:** (917) 969-5274

## Contact information

- **Practice address:** 276 COBBLESTONE LNDG, MOUNT JULIET, TN 37122-7470
- **Practice address phone:** (179) 969-5274
- **Mailing address:** 276 COBBLESTONE LNDG, MOUNT JULIET, TN 37122-7470
- **Mailing address phone:** (179) 969-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QB0400X | Birthing Clinic/Center | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2024
- **Last updated:** 11/02/2024
