Bridgeway Inc is a Counselor in Galesburg, Illinois. Bridgeway Inc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Bridgeway Inc is 1851315535. The last update date is 2019-08-19.
Bridgeway Inc's current location address is 2323 Windish Dr, Galesburg, Illinois. You can contact this provider via phone number 3093444200 and fax number 3093442200. The mailing address for Bridgeway Inc is 2323 Windish Dr, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridgeway Inc |
|---|---|
| Address | 2323 Windish Dr, Galesburg, Illinois |
| Phone Number | 3093444200 |
| Fax Number | 3093442200 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Nelson Bill |
| Credentials | LCPC LPHA |
| Telephone Number | 3093444200 |
NPI Number Detail
| NPI Number | 1851315535 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2019-08-19 |
Provider Mailing Address Detail
| Address | 2323 Windish Dr |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 614019780 |
| Phone Number | 3093444200 |
| Fax Number | 3093442200 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1180005 | IL | CERTIFIC/LICENSE |
Post Comment/ Review Below
What is the Bridgeway Inc's 1851315535?
The Bridgeway Inc's NPI (National Provider Identifier) Number is 1851315535. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bridgeway Inc?
The Bridgeway Inc is physically situated at 2323 Windish Dr, in the city of Galesburg, state of IL, with the postal code 614019780.
What is Bridgeway Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bridgeway Inc is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851315535 to Bridgeway Inc?
The Centers for Medicare & Medicaid Services assigned the 1851315535 to Bridgeway Inc on 2006-07-27.
As of what date were the details related to Bridgeway Inc most recently updated or revised?
The information pertaining to Bridgeway Inc, including its address, specialty, and other relevant details, was last updated or revised on 2019-08-19.