# BRIDGETTE MILLER CHILD COUNSLEING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598499717
- **Authorized official:** BRIDGETTE MILLER LPC (FAMILY AND CHILD THERAPIST, OWNER)
- **Authorized official phone:** (608) 577-3131

## Contact information

- **Practice address:** 579 DONOFRIO DR STE 1, MADISON, WI 53719-2838
- **Practice address phone:** (608) 577-3131
- **Practice address fax:** (608) 299-3906
- **Mailing address:** 579 DONOFRIO DR STE 1, MADISON, WI 53719-2838
- **Mailing address phone:** (608) 577-3131
- **Mailing address fax:** (608) 299-3906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 07/13/2022