Provider Demographics
NPI:1942180799
Name:LITTLE BRIDGE COUNSELING, LLC
Entity type:Organization
Organization Name:LITTLE BRIDGE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSTEK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-207-4562
Mailing Address - Street 1:3115 E CRAWFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ST FRANCIS
Mailing Address - State:WI
Mailing Address - Zip Code:53235-4253
Mailing Address - Country:US
Mailing Address - Phone:414-207-4562
Mailing Address - Fax:
Practice Address - Street 1:3115 E CRAWFORD AVE
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235-4253
Practice Address - Country:US
Practice Address - Phone:414-207-4562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health