NPI 1750396636
Bridgeway Counseling Center, Lc
Practice location
- Address
- 1630 23rd Ave Suite 301b, Lewiston, ID 83501-6350
- Phone
- (208) 746-6776
- Fax
- (208) 746-1938
- Mailing address
- 317 15th Ave, Lewiston, ID 83501-2757
Authorised official
- Name
- Frank E Shull
- Title
- Owner
- Phone
- (208) 746-6776
Registered specialties (2)
Clinical Social Worker
Primary
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1750396636
- Entity type
- Organization
- NPI issued
- 30 Jul 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.