| Bridgeway Psychiatric Center, Inc. | |
|
3451 5th Ave Suite A Lake Charles LA 70607-2127 | |
| (337) 562-0211 | |
| (337) 562-0212 |
| Full Name | Bridgeway Psychiatric Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3451 5th Ave, Lake Charles, Louisiana |
| Authorized Official Name and Position | Anne Dill (REGIONAL DIRECTOR) |
| Authorized Official Contact | 3377858003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Psychiatric Center, Inc. 3451 5th Ave Suite A Lake Charles LA 70607-2127 Ph: (337) 562-0211 | Bridgeway Psychiatric Center, Inc. 3451 5th Ave Suite A Lake Charles LA 70607-2127 Ph: (337) 562-0211 |
| NPI Number | 1366433278 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 04/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366433278 | NPI | - | NPPES |
| 1152013 | Medicaid | LA | |
| 61404 | Other | LA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Gulf Coast Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Pujo St Ste A, Lake Charles, LA 70601 Phone: 337-436-6622 Fax: 337-436-4403 | |
New Beginnings Community Outreach Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lakeshore Dr Ste 1640e, Lake Charles, LA 70629 Phone: 337-794-5351 Fax: 337-433-4894 | |
Family And Youth Counseling Agency, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Louie St, Lake Charles, LA 70601 Phone: 337-436-9533 Fax: 337-439-9941 | |
Saint Nicholas Center For Early Intervention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Broad St, Suite B, Lake Charles, LA 70601 Phone: 337-491-0800 Fax: 337-491-0508 | |
Volunteers Of America Greater Baton Rouge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Oak Park Blvd, Suite 421, Lake Charles, LA 70601 Phone: 225-387-0061 | |
Bloom Behavioral Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E College St, Lake Charles, LA 70605 Phone: 337-240-6038 | |
Jody Davidson Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 315 Alamo St, Lake Charles, LA 70601 Phone: 337-794-1141 |