Provider Demographics
NPI:1245704832
Name:TOVEY, BRIDGET ELIZABETH (LPCC)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ELIZABETH
Last Name:TOVEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 WEST BAGLEY ROAD
Mailing Address - Street 2:HELWIG WHISTLE STOP BUILDING
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017
Mailing Address - Country:US
Mailing Address - Phone:216-236-8607
Mailing Address - Fax:
Practice Address - Street 1:565 WEST BAGLEY ROAD
Practice Address - Street 2:HELWIG WHISTLE STOP BUILDING
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017
Practice Address - Country:US
Practice Address - Phone:216-236-8607
Practice Address - Fax:440-297-4808
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404096101YM0800X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2910854Medicaid