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General NPI Number Information
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NPI Number | 1144169491
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Entity Type | Organization
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Legal Business Name | BRIDGEWELL HEALTH PC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 27 PALMER AVE
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City | CHICOPEE
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State | MA
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Zip | 01020-1735
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Country | US
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Telephone | 413-650-2689
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Fax |
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Provider Business Mailing Address
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Address Line | 27 PALMER AVE
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City | CHICOPEE
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State | MA
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Zip | 01020-1735
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Country | US
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Telephone | 413-650-2689
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CLINICAL DIRECTOR
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Name | SEAN BOURGEOISE
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Credential | LADC I
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Telephone | 413-650-2689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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