Individual provider · Type 1 NPI

Trelisa S. Bridgewater

Mental Health Counselor · Shreveport, LA

NPI number 1104344324 Active

Practice location

3007 Knight St Suite 200
Shreveport, LA 71105

Call (318) 221-8244 Map

Mailing address

900 Walker Rd Apt 1203
Shreveport, LA 71101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104344324

Trelisa S. Bridgewater's National Provider Identifier is 1104344324, issued on Sep 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Sep 8, 2017.