Provider Demographics
NPI:1225226640
Name:B G L AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:B G L AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:PCC, IMFT
Authorized Official - Phone:330-722-9000
Mailing Address - Street 1:107 N COURT ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1934
Mailing Address - Country:US
Mailing Address - Phone:330-722-9000
Mailing Address - Fax:
Practice Address - Street 1:107 N COURT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1934
Practice Address - Country:US
Practice Address - Phone:330-722-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0007664101YP2500X
OHF0500030106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty