Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridge the Gap, Inc

Organization Community/Behavioral Health Agency · NPI 1073990420

Bridge the Gap, Inc is a Community/Behavioral Health Agency in Shawano, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1415 E Green Bay St Ste 111
Shawano, WI 54166-3879
Phone: (715) 526-3791
Fax: (715) 526-5537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1073990420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesley Laluzerne — President · (715) 526-3791
NPI enumeratedMay 5, 2015
Last updated in NPPESMay 5, 2015
Mailing address1415 E Green Bay St, Suite 111, Shawano, WI 54166-3879

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