# BRIDGEWAY PSYCHIATRIC CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgeway Psychiatric Center Practice Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245557404
- **Authorized official:** MR. MARK CULLEN (CEO)
- **Authorized official phone:** (337) 788-3330

## Contact information

- **Practice address:** 3451 5TH AVE, LAKE CHARLES, LA 70607-2127
- **Practice address phone:** (337) 562-0211
- **Practice address fax:** (337) 562-0212
- **Mailing address:** PO BOX 428, CROWLEY, LA 70527-0428
- **Mailing address phone:** (337) 785-8003
- **Mailing address fax:** (337) 785-8045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2010
- **Last updated:** 04/28/2010