Provider Demographics
NPI:1710728985
Name:BRIDGESTONEHEALTH PSYCHOTHERAPY PLLC
Entity type:Organization
Organization Name:BRIDGESTONEHEALTH PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:C
Authorized Official - Last Name:OGBONNA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-421-6371
Mailing Address - Street 1:31922 PIPPIN ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-2420
Mailing Address - Country:US
Mailing Address - Phone:832-314-1894
Mailing Address - Fax:
Practice Address - Street 1:17036 W LITTLE YORK RD STE 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4937
Practice Address - Country:US
Practice Address - Phone:832-421-6371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty