Bridgeway Psychiatric Center, Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRIDGEWAY PSYCHIATRIC CENTER, INC.

Practice address

3451 5TH Ave
Lake Charles, LA 70607-2127

Phone

(337) 562-0211

Fax

(337) 562-0212

NPI assigned

Apr 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Cullen

Title

Ceo

Phone

(337) 788-3330

Specialties & licenses 1

Addresses

Other names 1

• Bridgeway Psychiatric Center Practice Management Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1245557404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705270428",
            "telephone_number": "337-785-8003",
            "fax_number": "337-785-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 5TH AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706072127",
            "telephone_number": "337-562-0211",
            "fax_number": "337-562-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY PSYCHIATRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-788-3330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway Psychiatric Center Practice Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory Breaux
• Rachel Breaux
• Tamara Prince Breaux, PHARMD
• Annalise R Bricca, MD
• Koni Breaux Bridges, LCSW
• Bridgeway Psychiatric Center, Inc.
• Bright Start Behavioral Services
• Brighter Days Counseling Services, LLC
• Brighttrail Transit II, LLC
• Agnes F Briles, PHARM D

• Psychiatric/Mental Health Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.