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General NPI Number Information
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NPI Number | 1770422545
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Entity Type | Organization
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Legal Business Name | BRIDGEWAY INTEGRATED HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 810 OAK MEADOW DR
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City | FRANKLIN
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State | TN
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Zip | 37064-5504
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Country | US
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Telephone | 801-383-2069
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Fax |
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Provider Business Mailing Address
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Address Line | 810 OAK MEADOW DR
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City | FRANKLIN
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State | TN
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Zip | 37064-5504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NATALIE WHATCOTT
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Credential |
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Telephone | 801-255-5131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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