MEDICARE: BRIDGEWAY PSYCHIATRIC CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1245557404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGEWAY PSYCHIATRIC CENTER, INC.

Provider Business Mailing Address
First Line	:	PO BOX 428
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70527-0428
Country	:	US
Telephone Number	:	337-785-8003
Fax Number	:	337-785-8045

Provider Business Practice Location Address
First Line	:	3451 5TH AVE
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-2127
Country	:	US
Telephone Number	:	337-562-0211
Fax Number	:	337-562-0212

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARK CULLEN
Credential	:
Telephone Number	:	337-788-3330

Provider Enumeration Date	:	04/28/2010
Last Update Date	:	04/28/2010

Similar Medicare Providers

1366433278 — BRIDGEWAY PSYCHIATRIC CENTER, INC.
Practice Location Address:

3451 5TH AVE , SUITE A
LAKE CHARLES, LA
70607-2127

Practice Phone: 337-562-0211
Practice Fax: 337-562-0212

1073556726 — DR. PETER J. DORSEY D. D. S.
Practice Location Address:

3447 5TH AVE
LAKE CHARLES, LA
70607-2127

Practice Phone: 337-478-2014
Practice Fax: 337-480-1846

1992890628 — MRS. ALICIA CAROL VILLEGAS RN
Practice Location Address:

2127 PAULS WAY
WALLED LAKE, MI
48390-3229

Practice Phone: 248-669-9561
Practice Fax:

1376744730 — MR. JOHN JUMP CPO
Practice Location Address:

725 PRIMERA BLVD STE 205
LAKE MARY, FL
32746-2127

Practice Phone: 407-232-9944
Practice Fax: 407-232-9966

1336393941 — TRAVIS BOND MD
Practice Location Address:

3000 KENNEDY DR APT 5
SALT LAKE CITY, UT
84108-2127

Practice Phone: 801-205-4106
Practice Fax:

1003100330 — SANDRA S JAPHET LMP
Practice Location Address:

2127 SUMMIT LAKE SHORE RD NW
OLYMPIA, WA
98502-9455

Practice Phone: 360-866-1361
Practice Fax:

Directions to “BRIDGEWAY PSYCHIATRIC CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.