Bridgeway Inc in Galesburg - Mental Health (including Community Mental Health Center)
Bridgeway Inc - NPI 1851315535
Bridgeway Inc is a Mental Health (including Community Mental Health Center) in Galesburg, Illinois. Bridgeway Inc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). 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 |
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Address | 2323 Windish Dr, Galesburg, Illinois |
Phone Number | 3093444200 |
Fax Number | 3093442200 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Nelson Bill |
Credentials | LCPC LPHA |
Telephone Number | 3093444200 |
NPI Number Detail
NPI Number | 1851315535 |
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Provider Enumeration Date | 2006-07-27 |
Last Updated Date | 2019-08-19 |
Provider Mailing Address Detail
Address | 2323 Windish Dr |
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City | Galesburg |
State | Illinois (IL) |
Post Code | 614019780 |
Phone Number | 3093444200 |
Fax Number | 3093442200 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health (including Community Mental Health Center) |
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Taxonomy | 261Qm0801X |
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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 Mental Health (including Community Mental Health Center), and the taxonomy code that classifies this field of practice is 261Qm0801X.
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.