MEDICARE: BRIDGET LONGNECKER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH15844	FL

General Provider Information

NPI Number	:	1134695257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET LONGNECKER LMHC

Provider Business Mailing Address
First Line	:	9538 PATRICIAN DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-5727
Country	:	US
Telephone Number	:	727-207-5179
Fax Number	:

Provider Business Practice Location Address
First Line	:	9538 PATRICIAN DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-5727
Country	:	US
Telephone Number	:	727-207-5179
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	12/03/2025

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Directions to “ BRIDGET LONGNECKER LMHC” Practice Location

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