| Bridgelight Counseling | |
|
647 W Main St Ste 500 Lake Geneva WI 53147-1993 | |
| (262) 729-3143 | |
| Not Available |
| Full Name | Bridgelight Counseling |
|---|---|
| Speciality | Counselor |
| Location | 647 W Main St Ste 500, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Christina Dame (OWNER/HEAD COUNSELOR) |
| Authorized Official Contact | 2627293143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgelight Counseling 647 W Main St Ste 500 Lake Geneva WI 53147-1993 Ph: (262) 729-3143 | Bridgelight Counseling 647 W Main St Ste 500 Lake Geneva WI 53147-1993 Ph: (262) 729-3143 |
| NPI Number | 1952020570 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952020570 | NPI | - | NPPES |
| 100065492 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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