Provider Demographics
NPI:1275769499
Name:JOWID, BRIDGET (MS, LPC, LMFT, NCC)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:
Last Name:JOWID
Suffix:
Gender:F
Credentials:MS, LPC, LMFT, NCC
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:JOWID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:6750 HILLCREST PLAZA DR STE 224
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1441
Mailing Address - Country:US
Mailing Address - Phone:214-260-3197
Mailing Address - Fax:214-260-8602
Practice Address - Street 1:6750 HILLCREST PLAZA DR STE 224
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1441
Practice Address - Country:US
Practice Address - Phone:972-454-0415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203352106H00000X
TX108220225X00000X
TX80178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist