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NPI Code Detail

MEDICARE: BRIDGET M JOWID, PLLC

MEDICARE: BRIDGET M JOWID, PLLC
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
1101Y00000XCounselor
2106H00000XMarriage & Family Therapist
3261QM0850XAdult Mental Health Clinic/Center
4261QM0855XAdolescent and Children Mental Health Clinic/Center
5390200000XStudent in an Organized Health Care Education/Training Program
6101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194587451
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGET M JOWID, PLLC
Provider Business Mailing Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 972-454-0415
Fax Number : --
Provider Business Practice Location Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 972-454-0415
Fax Number : --
Authorized Official
Title or Position : OWNER, THERAPIST
Name : BRIDGET MOSES JOWID
Credential : LPC, LMFT
Telephone Number : 972-454-0415
Provider Enumeration Date : 01/23/2024
Last Update Date : 01/23/2024

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