Organization
BRIDGEWAY CENTER INC
Active
Organization
BRIDGEWAY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE R BARLOW (CHIEF EXECUTIVE OFFICER)
(850) 833-3975
Entity
Organization
Contact information
Practice address
205 SHELL AVE SE, FORT WALTON BEACH, FL 32548-5808
(850) 833-7500
(850) 833-7528
Mailing address
137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5015
(850) 833-3975
(850) 883-7582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060398810
—
FL
Enumeration date
06/02/2021
Last updated
09/24/2025
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