MEDICARE: BRIDGE TO WELLNESS COUNSELING LLC

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	104100000X	Social Worker
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1922830124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGE TO WELLNESS COUNSELING LLC

Provider Business Mailing Address
First Line	:	4330 NAVARRE AVE STE 102
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3587
Country	:	US
Telephone Number	:	419-836-0486
Fax Number	:

Provider Business Practice Location Address
First Line	:	4330 NAVARRE AVE STE 102
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3587
Country	:	US
Telephone Number	:	419-836-0486
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIDGET SCHWIRZINSKI
Credential	:	LPCC-S, LSW
Telephone Number	:	419-509-8230

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	01/17/2026

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