Organization
BRIDGEWAY INTEGRATED HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE LARSON (VP REVENUE & BILLING)
(801) 383-2069
Entity
Organization
Contact information
Practice address
6771 BETHESDA ARNO RD, THOMPSONS STATION, TN 37179-9217
(801) 383-2069
Mailing address
6771 BETHESDA ARNO RD, THOMPSONS STN, TN 37179-9217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/26/2026
Last updated
07/29/2026
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