Organization
BLISSFUL BRIDGE TO WELLNESS
Active
Other names
Blissful Bridge to Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY DICKEY MSW, LCSWA (CEO)
(910) 787-1282
Entity
Organization
Contact information
Practice address
410 ANDERSON ST, WILMINGTON, NC 28401-4210
(910) 787-1282
Mailing address
410 ANDERSON ST, WILMINGTON, NC 28401-4210
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992300313
—
NC
Enumeration date
12/03/2020
Last updated
12/03/2020
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