| Bridge The Gap, Inc | |
|
1415 E Green Bay St Suite 111 Shawano WI 54166-3879 | |
| (715) 526-3791 | |
| (715) 526-5537 |
| Full Name | Bridge The Gap, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1415 E Green Bay St, Shawano, Wisconsin |
| Authorized Official Name and Position | Lesley Linn Laluzerne (PRESIDENT) |
| Authorized Official Contact | 7155263791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge The Gap, Inc 1415 E Green Bay St Suite 111 Shawano WI 54166-3879 Ph: (715) 526-3791 | Bridge The Gap, Inc 1415 E Green Bay St Suite 111 Shawano WI 54166-3879 Ph: (715) 526-3791 |
| NPI Number | 1073990420 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073990420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Synergy Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 East Green Bay St., Suite 191, Shawano, WI 54166 Phone: 715-526-5466 Fax: 715-526-5545 | |
St. Vincent Hospital - Libertas Of Shawano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 E Green Bay St, Shawano, WI 54166 Phone: 715-201-0870 | |
Be Well Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 E Green Bay St, Suite 107, Shawano, WI 54166 Phone: 715-853-8953 Fax: 715-201-0395 | |
Strive Behavioral Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1542 Industrial Dr, Shawano, WI 54166 Phone: 920-209-3166 | |
King Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1488 E Green Bay St, Shawano, WI 54166 Phone: 715-524-5355 | |
Shawano County Dept Of Human Services-lakeland Center Crisis Svcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-4700 Fax: 715-526-5542 |