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Organization

BRIDGE TO AFFECTIVE WELLNES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISHA MASSEY PRYOR (PRACTICE MANAGER)
(980) 272-1908
Entity
Organization

Contact information

Practice address
1028 LEE-ANN DR. NE, SUITE 60, CONCORD, NC 28025-2903
(980) 272-1908
(704) 787-9920
Mailing address
1028 LEE-ANN DR. NE, SUITE 60, CONCORD, NC 28025-2903
(980) 272-1908
(704) 787-9920

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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