Organization
BRIDGE STREET COUNSELING
Active
Organization
BRIDGE STREET COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DESHAZER LMFT, LAC (OWNER)
(720) 263-2256
Entity
Organization
Contact information
Practice address
203 TELLURIDE ST UNIT 600, BRIGHTON, CO 80601-4366
(720) 263-2256
(303) 659-8803
Mailing address
203 TELLURIDE ST UNIT 600, BRIGHTON, CO 80601-4366
(720) 263-2256
(303) 659-8803
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD234
LICENSED ADDICTION COUNSELOR
CO
01
—
MFT1617
LICENSED MARRIAGE AND FAMILY THERAPIST
CO
Enumeration date
09/24/2019
Last updated
09/24/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up