TRELISA S BRIDGEWATER
NPI 1104344324
Counselor - Mental Health in Shreveport, LA

Active since September 08, 2017
3007 KNIGHT ST SUITE 200, SHREVEPORT, LA 71105(318) 221-8244 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trelisa S Bridgewater NPPES

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

TRELISA S BRIDGEWATER (NPI 1104344324) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1104344324
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRELISA S BRIDGEWATER
Location Address3007 KNIGHT ST SUITE 200Shreveport, LA 71105
Mailing Address900 Walker Rd Apt 1203Shreveport, LA 71101 · (318) 221-8244
Sole ProprietorNo
Enumeration DateSeptember 8, 2017
NPI 1104344324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3007 KNIGHT ST SUITE 200, Shreveport, LA 71105

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 Trelisa Bridgewater's NPI number?

The NPI number for Trelisa Bridgewater is 1104344324. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Trelisa Bridgewater located?

Trelisa Bridgewater practices at 3007 Knight St Suite 200, Shreveport, LA 71105. The listed phone number is (318) 221-8244.

What is Trelisa Bridgewater's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Trelisa Bridgewater was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.