Provider Demographics
NPI:1306445325
Name:BRIDGES, WHITNEY CALHOUN (LPC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:CALHOUN
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CANARY RD
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-9715
Mailing Address - Country:US
Mailing Address - Phone:830-637-7848
Mailing Address - Fax:
Practice Address - Street 1:3340 STATE HIGHWAY 71 W
Practice Address - Street 2:
Practice Address - City:HORSESHOE BAY
Practice Address - State:TX
Practice Address - Zip Code:78657-9657
Practice Address - Country:US
Practice Address - Phone:830-637-7848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74755101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health