Provider Demographics
NPI:1447809439
Name:MARCHESE, BRIDGET LYNN (MA, TLLP, LPC, NCC)
Entity type:Individual
Prefix:MISS
First Name:BRIDGET
Middle Name:LYNN
Last Name:MARCHESE
Suffix:
Gender:F
Credentials:MA, TLLP, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6934 ARBOR HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-9261
Mailing Address - Country:US
Mailing Address - Phone:906-450-2288
Mailing Address - Fax:
Practice Address - Street 1:6934 ARBOR HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-9261
Practice Address - Country:US
Practice Address - Phone:906-450-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6362001151103T00000X
MI6401019837101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103T00000XBehavioral Health & Social Service ProvidersPsychologist