Provider Demographics
NPI:1447412424
Name:GILES MCKNIGHT, BRIDGETT M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGETT
Middle Name:M
Last Name:GILES MCKNIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BRIDGETT
Other - Middle Name:M
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4830 SUGAR GROVE BLVD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:281-770-2569
Mailing Address - Fax:
Practice Address - Street 1:4830 SUGAR GROVE BOULEVARD
Practice Address - Street 2:SUITE 605
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:281-770-2569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX18700OtherTEXAS LICENSED PROFESSIONAL COUNSELOR