BRIDGEPORT COUNSELING
NPI 1427208784
Counselor - Professional in Superior, WI
Active since September 23, 2008
2231 CATLIN AVE, ROOM #310, SUPERIOR, WI 54880(715) 395-7825(715) 395-7826 Get Directions Write a Review
About Bridgeport Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGEPORT COUNSELING (NPI 1427208784) is a healthcare organization registered as a professional in Superior, Wisconsin and active in the NPI registry since September 2008. The organization lists Timothy Lloyd Panula, Licensed Professional Counselor, as its authorized official.
NPPES Registry Identity
NPI1427208784
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBRIDGEPORT COUNSELING
Location Address2231 CATLIN AVE, ROOM #310Superior, WI 54880-5137
Mailing Address2231 Catlin Ave, Room #310Superior, WI 54880-5137 · (715) 395-7825 · Fax (715) 395-7826
Phone(715) 395-7825
Fax(715) 395-7826
Organization SubpartNo
Authorized OfficialTimothy Lloyd PanulaLicensed Professional Counselor · (715) 395-7825
Enumeration DateSeptember 23, 2008
✔ NPI 1427208784 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 2837-125
2231 CATLIN AVE, Superior, WI 54880
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
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Counselor (Professional)
2231 CATLIN AVE, SUITE #310
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Registered Nurse (Case Management)
2231 CATLIN AVE, BOX 3
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Registered Nurse (Case Management)
2231 CATLIN AVE, BOX 3
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427208784, enumerated as an "organization" on September 23, 2008.
The provider is located at 2231 CATLIN AVE ROOM #310 SUPERIOR, WI 54880 and the phone number is (715) 395-7825.
Counselor with taxonomy code 101YP2500X and a focus in Professional.