BRIDGEWAY PSYCHIATRIC CENTER PRACTICE MANAGEMENT
NPI 1245557404
Nurse Practitioner - Psychiatric/Mental Health in Lake Charles, LA

Q: What is Bridgeway Psychiatric Center, Inc.'s NPI number?

The NPI number for Bridgeway Psychiatric Center, Inc. is 1245557404. It was assigned to this organization in the NPPES registry on April 28, 2010. The provider is doing business as Bridgeway Psychiatric Center Practice Management.

Q: What is Bridgeway Psychiatric Center, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 28, 2010CLIA 19D2120018 · Waiver

3451 5TH AVE, LAKE CHARLES, LA 70607(337) 562-0211(337) 562-0212 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bridgeway Psychiatric Center Practice Management NPPES

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

BRIDGEWAY PSYCHIATRIC CENTER PRACTICE MANAGEMENT (NPI 1245557404) is a healthcare organization registered as a psychiatric/mental health in Lake Charles, Louisiana and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Mark Cullen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245557404

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBRIDGEWAY PSYCHIATRIC CENTER, INC.

Location Address3451 5TH AVELake Charles, LA 70607-2127

Mailing AddressPo Box 428Crowley, LA 70527-0428 · (337) 785-8003 · Fax (337) 785-8045

Phone(337) 562-0211

Fax(337) 562-0212

Organization SubpartNo

Authorized OfficialMark CullenCeo · (337) 788-3330

Enumeration DateApril 28, 2010

✔ NPI 1245557404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

3451 5TH AVE, Lake Charles, LA 70607

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Other Names 1

Doing Business AsBridgeway Psychiatric Center Practice Management

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2120018

Bridgeway Psychiatric Center Jennings Sr Care Hospital · Lake Charles, LA

Active · expires Oct 9, 2026

CLIA Number19D2120018

Laboratory TypePsych Hospital Hopd

Certificate Effective DateOctober 10, 2024

Certificate Expiration DateOctober 9, 2026

Laboratory DirectorClark Wanekia

Laboratory Phone(337) 824-1558

Laboratory LocationBridgeway Psychiatric Center Jennings Sr Care Hospital3451 5th Avenue, Lake Charles, LA 70607

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BRIDGEWAY PSYCHIATRIC CENTER, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

3451 5TH AVE, SUITE A
LAKE CHARLES, LA 70607

Calcasieu Parish (337) 562-0211

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 Bridgeway Psychiatric Center, Inc.'s NPI number?

The NPI number for Bridgeway Psychiatric Center, Inc. is 1245557404. It was assigned to this organization in the NPPES registry on April 28, 2010. The provider is doing business as Bridgeway Psychiatric Center Practice Management.

Where is Bridgeway Psychiatric Center, Inc. located?

Bridgeway Psychiatric Center, Inc. is located at 3451 5th Ave, Lake Charles, LA 70607. The listed phone number is (337) 562-0211.

What is Bridgeway Psychiatric Center, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Bridgeway Psychiatric Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2120018) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridgeway Psychiatric Center, Inc. was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.