Healthcare Provider Details

I. General information

NPI: 1609728518
Provider Name (Legal Business Name): BRIDGE TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 MINDEN ST
RUSTON LA
71270-3715
US

IV. Provider business mailing address

508 MINDEN ST
RUSTON LA
71270-3715
US

V. Phone/Fax

Practice location:
  • Phone: 337-292-9921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: AARON D LAWRENCE
Title or Position: OWNER
Credential:
Phone: 337-292-9921