| Organization Name: | BRIDGEWAY WELLNESS COUNSELING |
| NPI Number: | 1215111950 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH ANN DECKER-MILLER (DIRECTOR) |
| Mailing Address: | 225 Broadway St Suite 7 South Haven |
| State: | MI US |
| Postal Code: | 490902408 |
| Phone Number: | 2693703822 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2007 |
| NPI Last Update Date: | 02/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401009590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |