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BRIDGE THE GAP, INC
NPI 1073990420
Community/Behavioral Health in Shawano, WI

Active since May 05, 2015
1415 E GREEN BAY ST, SUITE 111, SHAWANO, WI 54166(715) 526-3791(715) 526-5537 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridge The Gap, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE THE GAP, INC (NPI 1073990420) is a healthcare organization registered as a community/behavioral health in Shawano, Wisconsin and active in the NPI registry since May 2015. The organization lists Lesley Linn Laluzerne, President, as its authorized official.

NPPES Registry Identity

NPI1073990420
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBRIDGE THE GAP, INC
Location Address1415 E GREEN BAY ST, SUITE 111Shawano, WI 54166-3879
Mailing Address1415 E Green Bay St, Suite 111Shawano, WI 54166-3879 · (715) 526-3791 · Fax (715) 526-5537
Phone(715) 526-3791
Fax(715) 526-5537
Organization SubpartNo
Authorized OfficialLesley Linn LaluzernePresident · (715) 526-3791
Enumeration DateMay 5, 2015
✔ NPI 1073990420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1415 E GREEN BAY ST, Shawano, WI 54166
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
Internal Medicine (Hematology & Oncology)
1415 E GREEN BAY ST, SUITE 141
SHAWANO, WI 54166
Shawano County (715) 201-6599
ELIZABETH A MONTOUR MSW
Counselor
1415 E GREEN BAY ST, STE 191
SHAWANO, WI 54166
Shawano County (715) 526-5466
LESLEY KUMM-LALUZERNE
Behavior Analyst
1415 E GREEN BAY ST, SUITE 111
SHAWANO, WI 54166
Shawano County (715) 526-3791

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge The Gap, Inc's NPI number?

The NPI number for Bridge The Gap, Inc is 1073990420. It was assigned to this organization in the NPPES registry on May 5, 2015.

Where is Bridge The Gap, Inc located?

Bridge The Gap, Inc is located at 1415 E Green Bay St Suite 111, Shawano, WI 54166. The listed phone number is (715) 526-3791.

What is Bridge The Gap, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Bridge The Gap, Inc was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.