Healthcare Provider Details

I. General information

NPI: 1922830124
Provider Name (Legal Business Name): BRIDGE TO WELLNESS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 01/17/2026
Certification Date: 01/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 NAVARRE AVE STE 102
OREGON OH
43616-3587
US

IV. Provider business mailing address

4330 NAVARRE AVE STE 102
OREGON OH
43616-3587
US

V. Phone/Fax

Practice location:
  • Phone: 419-836-0486
  • Fax:
Mailing address:
  • Phone: 419-836-0486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: BRIDGET SCHWIRZINSKI
Title or Position: OWNER
Credential: LPCC-S, LSW
Phone: 419-509-8230