# MENDING BROKEN BRIDGES COUNSELING SERVICES PLLC

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

## Provider details

- **NPI number:** 1821992819
- **Authorized official:** JAKIRA MILLER LCMHC,LCAS (OWNER)
- **Authorized official phone:** (252) 327-2728

## Contact information

- **Practice address:** CS6091728, GREENSBORO, NC 27409
- **Practice address phone:** (252) 327-2728
- **Mailing address:** 3209 STONEBURG CT APT B, GREENSBORO, NC 27409-8807
- **Mailing address phone:** (252) 327-2728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/06/2026