Individual
MS. BRIDGET WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LADAC, LIAC,
Contact information
Practice address
84 TRIBBLE RD, HOLLY SPRINGS, MS 38635-8600
(901) 305-0626
Mailing address
84 TRIBBLE RD, HOLLY SPRINGS, MS 38635-8600
(901) 305-0626
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1698
TN
101YM0800X
Mental Health Counselor
CH3925
MS
104100000X
Social Worker
15729
TN
104100000X
Social Worker
M11185
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T4C-AGENCY
—
MS
Enumeration date
09/20/2016
Last updated
02/26/2026
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