BRIDGEWAY PSYCHIATRIC CENTER INC. NPI 1366433278

NPI Information

  • NPI: 1366433278
  • Provider Name: BRIDGEWAY PSYCHIATRIC CENTER, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 19D2120018
  • Address: 3451 5TH AVE
    SUITE A
    LAKE CHARLES, LA
    ZIP 70607
  • Phone: (337) 562-0211

Map and Directions

Get Directions

NPI Details

BRIDGEWAY PSYCHIATRIC CENTER, INC. is a mental health (including community mental health center) clinic center in Lake Charles, LA. BRIDGEWAY PSYCHIATRIC CENTER, INC. NPI is 1366433278. The provider is registered as an organization entity type.

The provider's business location address is:

3451 5TH AVE
SUITE A
LAKE CHARLES, LA
ZIP 70607-127
Phone: (337) 562-0211
Fax: (337) 562-0212

The provider's authorized official is Anne Dill .
The authorized official title is Regional Director and has the following contact phone number (337) 785-8003.

The CLIA number assigned to this NPI record is 19D2120018 - other - psych hospital hopd with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 4/30/2010.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
161404OTHERLOUISIANABLUE CROSS BLUE SHIELD
2194690MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
31152013MEDICAIDLOUISIANA

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI