STEPHEN BRIDGEWATER - NPI 1265960850 - Counselor in Denham Springs, LA

Q: What is Stephen Bridgewater's NPI number?

The NPI number for Stephen Bridgewater is 1265960850. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Q: What is Stephen Bridgewater's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About Stephen Bridgewater NPPES

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

STEPHEN BRIDGEWATER (NPI 1265960850) is an individual counselor in Denham Springs, Louisiana and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1265960850

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSTEPHEN BRIDGEWATER

Location Address30826 LINDER RDDenham Springs, LA 70726-8507

Mailing Address30826 Linder RdDenham Springs, LA 70726-8507 · (225) 665-7878 · Fax (225) 665-7856

Phone(225) 665-7878

Fax(225) 665-7856

Sole ProprietorNo

Enumeration DateMay 26, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1265960850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

30826 LINDER RD, Denham Springs, LA 70726

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Other Identifiers 1

Medicaid1548839LA

Other Providers at the Same Location NPPES 20

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

BOBBI JORDAN LPC

Counselor (Professional)