# BLISSFUL BRIDGE TO WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blissful Bridge to Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881299212
- **Authorized official:** AUDREY DICKEY MSW, LCSWA (CEO)
- **Authorized official phone:** (910) 787-1282

## Contact information

- **Practice address:** 410 ANDERSON ST, WILMINGTON, NC 28401-4210
- **Practice address phone:** (910) 787-1282
- **Mailing address:** 410 ANDERSON ST, WILMINGTON, NC 28401-4210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 12/03/2020