Provider Demographics
NPI:1134677008
Name:LESURE, BRIDGET CHARESE (MSW)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:CHARESE
Last Name:LESURE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:CHARESE
Other - Last Name:LESURE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:152 HIGHWAY 7 S
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5392
Mailing Address - Country:US
Mailing Address - Phone:662-252-4140
Mailing Address - Fax:662-236-3071
Practice Address - Street 1:152 HIGHWAY 7 S
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5392
Practice Address - Country:US
Practice Address - Phone:662-252-4140
Practice Address - Fax:662-236-3071
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool