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Organization
BRIDGEWELL RESIDENTIAL SERVICES, LLC
Active
Organization
BRIDGEWELL RESIDENTIAL SERVICES, LLC
Active
Other names
BridgeWell Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDRA NIKITA EDWARDS LCSW (OWNER, CLINICAL DIRECTOR)
(910) 990-1190
Entity
Organization
Contact information
Practice address
2801 MCLAIN ST., GOLDSBORO, NC 27534
(919) 394-6718
(919) 288-1276
Mailing address
112 TIBURON CT, GOLDSBORO, NC 27534-7085
(919) 394-6718
(919) 288-1276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
08/23/2026
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