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

Bridgeway Inc

Organization Counselor · NPI 1588948046

Bridgeway Inc is a Counselor in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
6
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

310 Wylie Dr Ste 464
Normal, IL 61761-5504
Phone: (309) 452-2797
Fax: (309) 452-9811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Counselor Taxonomy 101Y00000X · Licence 04016 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 04016 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 04016 (IL)
Social Worker Taxonomy 104100000X · Licence 04016 (IL)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 04016 (IL)

Record details

NPI number1588948046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Nelson — Ceo · (309) 344-2323
NPI enumeratedOctober 3, 2011
Last updated in NPPESAugust 19, 2019
Mailing address310 Wylie Dr, Suite 464, Normal, IL 61761-5504

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