# JUMP START BRIDGING GAPS LLC

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

## Provider details

- **NPI number:** 1831719889
- **Authorized official:** DONNIE WORTHY (CEO)
- **Authorized official phone:** (803) 385-7169

## Contact information

- **Practice address:** 512 COLUMBIA ST, CHESTER, SC 29706
- **Practice address phone:** (803) 385-7169
- **Mailing address:** 3255 RICKS RD, CHESTER, SC 29706-6402
- **Mailing address phone:** (803) 385-7169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2020
- **Last updated:** 04/20/2020