Shayla Bridgewater, LMHCA is a
Counselor - Mental Health based in Etna Green, Indiana. Shayla Bridgewater is licensed to practice in Indiana (license number 88003360A) and her current practice location is
8972 W 125 N, Etna Green, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 201-7495.
NPI number for Shayla Bridgewater is 1386570547 and her current mailing address is 8972 W 125 N, Etna Green, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386570547.
Healthcare Provider's Profile
| Full Name | Shayla Bridgewater |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 8972 W 125 N, Etna Green, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386570547
- Provider Enumeration Date: 06/23/2026
- Last Update Date: 06/23/2026
Medical Identifiers
Medical identifiers for Shayla Bridgewater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386570547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 88003360A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shayla Bridgewater is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shayla Bridgewater, LMHCA 8972 W 125 N, Etna Green, IN 46524-9521 Ph: (574) 201-7495 | Shayla Bridgewater, LMHCA 8972 W 125 N, Etna Green, IN 46524-9521 Ph: (574) 201-7495 |
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