Bridgett L Augustino-Wilke, M.A., PHD, CCJP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Springfield, TN
NPI 1447708706 · NPPES record last updated Sep 15, 2016
Key facts
- NPI
- 1447708706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1509 (VA)
- Practice address
- 514 Hill St
Springfield, TN 37172-2902 - Phone
- (615) 985-2424
- Fax
- (615) 645-7333
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1509 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1509 | VA | Yes |
Addresses
Primary practice location
514 Hill St
Springfield, TN 37172-2902
Mailing address
514 Hill St
Springfield, TN 37172-2902
Phone (615) 985-2424
Other providers in Springfield, TN
- Robert S. Amonette
- Love Anani
- Crystal Dawn Arellano I
- Ark Transportation Services LLC
- Briana Arnett
- Christy Baggett
- Lane Baker
- Alison Elizabeth Bakke
- Sarah Sutherland Baldwin
- Connor Ballard
All providers in Springfield, TN · Addiction (Substance Use Disorder) Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.