Provider Demographics
NPI:1003443714
Name:SCHOSSOW REINSMITH, BRIDGETTE RENEE (LPC, CAC II)
Entity Type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:RENEE
Last Name:SCHOSSOW REINSMITH
Suffix:
Gender:F
Credentials:LPC, CAC II
Other - Prefix:
Other - First Name:BRIDGETTE
Other - Middle Name:
Other - Last Name:SCHOSSOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, CAC II
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:DARRAGH
Mailing Address - State:PA
Mailing Address - Zip Code:15625-0080
Mailing Address - Country:US
Mailing Address - Phone:720-660-7927
Mailing Address - Fax:
Practice Address - Street 1:766 E PITTSBURGH ST STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2678
Practice Address - Country:US
Practice Address - Phone:720-660-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012540101YM0800X
COACB.0007705101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)