Provider Demographics
NPI:1205507423
Name:BRIDGET FRIEDMAN COUNSELING
Entity type:Organization
Organization Name:BRIDGET FRIEDMAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:425-318-6148
Mailing Address - Street 1:14030 MAIN ST NE
Mailing Address - Street 2:SUITE E - NUMBER 1641
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019
Mailing Address - Country:US
Mailing Address - Phone:425-318-6148
Mailing Address - Fax:
Practice Address - Street 1:1611 116TH AVE NE STE 125
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3062
Practice Address - Country:US
Practice Address - Phone:425-318-6148
Practice Address - Fax:425-748-9967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)