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Bridgeway Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Normal, Illinois
NPI 1588948046

Bridgeway Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Normal, IL and is specialized in Mental Health (Including Community Mental Health Center). Bridgeway Inc practices in Normal, IL. The NPI Number for Bridgeway Inc is 1588948046 and holds a License No. 04016 (Illinois).

The current practice location address for Bridgeway Inc is 310 Wylie Dr, Normal, IL and can be reached out via phone at 309-452-2797 and via fax at 309-452-9811.

Location: 310 Wylie Dr, Normal, IL, 61761-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588948046
Provider Name
Bridgeway Inc
Credential
Provider Entity Type
Organization
Address
310 Wylie Dr, Normal, IL, 61761-5504
Phone Number
309-452-2797
Fax Number
309-452-9811
Provider Enumeration Date
10/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AC 217/557-9285 01 IL MEDICARE CERTIFICATION
04016 05 IL
institution
Provider Business Practice Location Address Details
Address
310 Wylie Dr
City
Normal
State
Illinois
Zip
61761-5504
Phone Number
309-452-2797
Fax Number
309-452-9811
person
Provider Business Mailing Address Details
Address
310 Wylie Dr
City
Normal
State
Illinois
Zip
61761-5504
Phone Number
309-452-2797
Fax Number
309-452-9811
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
04016 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
04016 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
04016 (Illinois)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
04016 (Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
04016 (Illinois)
Definition
Definition to come...
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