=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942180799
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LITTLE BRIDGE COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/03/2025
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3115 E CRAWFORD AVE
-----------------------------------------------------
City | ST FRANCIS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53235-4253
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-207-4562
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3115 E CRAWFORD AVE
-----------------------------------------------------
City | ST FRANCIS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53235-4253
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-207-4562
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNSELING/OWNER
-----------------------------------------------------
Name | MARIA MOSTEK
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 414-207-4562
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------