Provider Demographics
NPI:1184404816
Name:BRIDGEPOINTE COUNSELING
Entity type:Organization
Organization Name:BRIDGEPOINTE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:AICHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:586-945-6422
Mailing Address - Street 1:36444 PERFECTA CT
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-1017
Mailing Address - Country:US
Mailing Address - Phone:586-945-6422
Mailing Address - Fax:
Practice Address - Street 1:17001 19 MILE RD STE 2
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-4867
Practice Address - Country:US
Practice Address - Phone:586-945-6422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty