OrganizationActive
Bridge the Gap, Inc
NPI 1073990420 · Community/Behavioral Health Agency · Shawano, WI
Bridge the Gap, Inc is a Community/Behavioral Health Agency organization in Shawano, WI (NPI 1073990420).
Provider details
- NPI number
- 1073990420
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lesley Laluzerne, President(715) 526-3791
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1415 E Green Bay St
Suite 111
Shawano, WI 54166-3879
Phone: (715) 526-3791
Fax: (715) 526-5537
Street-level locationGet directions
Mailing address
1415 E Green Bay St
Shawano, WI 54166-3879
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2015-05-05
Frequently asked questions
- What is Bridge the Gap, Inc's NPI number?
- Bridge the Gap, Inc's National Provider Identifier (NPI) is 1073990420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridge the Gap, Inc?
- Bridge the Gap, Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Bridge the Gap, Inc located?
- Bridge the Gap, Inc's practice location on file with NPPES is 1415 E Green Bay St, Shawano, WI 54166-3879.
- What is Bridge the Gap, Inc's phone number?
- The practice phone number listed in the NPPES registry for Bridge the Gap, Inc is (715) 526-3791.
- Who is the authorized official for Bridge the Gap, Inc?
- The authorized official listed on Bridge the Gap, Inc's NPPES record is Lesley Laluzerne, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridge the Gap, Inc's NPI active?
- Yes — Bridge the Gap, Inc's NPI (1073990420) is active in the NPPES registry as of the last update on 2015-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.