MARISA L BRIDGE LPC CDCA NPI 1285223081

NPI Information

NPI: 1285223081
Provider Name: MARISA L BRIDGE, LPC, CDCA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
388 E MIDLOTHIAN BLVD
YOUNGSTOWN, OH
ZIP 44507
Phone: (724) 396-1510
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Marisa L Bridge, LPC, CDCA is a professional counselor in Youngstown, OH. Marisa L Bridge, LPC, CDCA NPI is 1285223081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

388 E MIDLOTHIAN BLVD
YOUNGSTOWN, OH
ZIP 44507-948
Phone: (724) 396-1510
Fax: (724) 972-4627

The enumeration date for this NPI number is 1/15/2021 and was last updated on 9/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.180703	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.176188	OHIO	No
3	101YP2500X	Counselor	Professional	C.2204107	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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