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NPI Code Detail

MEDICARE: BRIDGEWAY BEHAVIORAL HEALTH LLC

MEDICARE: BRIDGEWAY BEHAVIORAL HEALTH LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1376402495
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGEWAY BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 1301 S BOWEN RD STE 470
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-2211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 S BOWEN RD STE 470
Second Line :
City : ARLINGTON
State : TX
Zip : 76013-2211
Country : US
Telephone Number : 405-474-7471
Fax Number :
Authorized Official
Title or Position : PMHNP
Name : JANE KAROKI
Credential :
Telephone Number : 405-474-7471
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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