| Bridgepoint Health Llc | |
|
3425 Superior Ave Sheboygan WI 53081-1863 | |
| (920) 458-5557 | |
| (920) 458-2692 |
| Full Name | Bridgepoint Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3425 Superior Ave, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Wendy L Elgin (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9204585557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgepoint Health Llc Po Box 387 Sheboygan WI 53082-0387 Ph: (920) 458-5557 | Bridgepoint Health Llc 3425 Superior Ave Sheboygan WI 53081-1863 Ph: (920) 458-5557 |
| NPI Number | 1760593727 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760593727 | NPI | - | NPPES |
| 42194800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1499 (Wisconsin) | Primary |
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