Provider Demographics
NPI:1821274861
Name:PAIGE, BRIDGET BAILEY (LPC)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:BAILEY
Last Name:PAIGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 COUNTRY CLUB DR
Mailing Address - Street 2:APT. 2
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-5051
Mailing Address - Country:US
Mailing Address - Phone:713-890-2740
Mailing Address - Fax:
Practice Address - Street 1:11500 NORTHWEST FWY
Practice Address - Street 2:SUITE 235
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6530
Practice Address - Country:US
Practice Address - Phone:713-956-8194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-19
Last Update Date:2008-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63038101YM0800X
WY909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health