Provider Demographics
NPI:1912879800
Name:BRIDGING GAPS SERVICES LLC
Entity type:Organization
Organization Name:BRIDGING GAPS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-225-2541
Mailing Address - Street 1:598 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-1359
Mailing Address - Country:US
Mailing Address - Phone:774-520-6927
Mailing Address - Fax:401-537-3417
Practice Address - Street 1:598 CHARLES ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1359
Practice Address - Country:US
Practice Address - Phone:774-520-6927
Practice Address - Fax:401-537-3417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIBR23124Medicaid