Healthcare Provider Details

I. General information

NPI: 1891329900
Provider Name (Legal Business Name): BRIDGET ELIZABETH KLEITSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIDGET ELIZABETH MERRITT

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 1ST AVE W
CASCADE IA
52033-7721
US

IV. Provider business mailing address

7371 244TH ST
CASCADE IA
52033-8624
US

V. Phone/Fax

Practice location:
  • Phone: 563-451-4108
  • Fax:
Mailing address:
  • Phone: 563-451-4108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: