1205507423 NPI number — BRIDGET FRIEDMAN COUNSELING

Table of content: (NPI 1205507423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205507423 NPI number — BRIDGET FRIEDMAN COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIDGET FRIEDMAN COUNSELING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205507423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14030 MAIN ST NE
Provider Second Line Business Mailing Address:
SUITE E - NUMBER 1641
Provider Business Mailing Address City Name:
DUVALL
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-318-6148
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1611 116TH AVE NE STE 125
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-3062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-318-6148
Provider Business Practice Location Address Fax Number:
425-748-9967
Provider Enumeration Date:
09/27/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FRIEDMAN
Authorized Official First Name:
BRIDGET
Authorized Official Middle Name:
ELAINE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
425-318-6148

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)