Provider Demographics
NPI:1922830124
Name:BRIDGE TO WELLNESS COUNSELING LLC
Entity type:Organization
Organization Name:BRIDGE TO WELLNESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWIRZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S, LSW
Authorized Official - Phone:419-509-8230
Mailing Address - Street 1:860 ANSONIA ST STE 13
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3177
Mailing Address - Country:US
Mailing Address - Phone:419-836-0486
Mailing Address - Fax:
Practice Address - Street 1:860 ANSONIA ST STE 13
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3177
Practice Address - Country:US
Practice Address - Phone:419-836-0486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty