MARK F BRIDGE
NPI 1316152663
Counselor in Decatur, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since May 11, 2007

132 S WATER ST, SUITE 604, DECATUR, IL 62523(217) 423-6199(217) 423-1035 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mark F Bridge NPPES

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

MARK F BRIDGE (NPI 1316152663) is an individual counselor in Decatur, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1316152663

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMARK F BRIDGE

Location Address132 S WATER ST, SUITE 604Decatur, IL 62523-1332

Mailing Address132 S Water St, Suite 604Decatur, IL 62523-1332 · (217) 423-6199 · Fax (217) 423-1035

Phone(217) 423-6199

Fax(217) 423-1035

Sole ProprietorNo

Enumeration DateMay 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316152663 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.

132 S WATER ST, Decatur, IL 62523

Open in Google Maps ↗