BRIDGESIDE COUNSELING SERVICES PLLC NPI 1285307348

NPI Information

NPI: 1285307348
Provider Name: BRIDGESIDE COUNSELING SERVICES, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3173 WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403
Phone: (910) 769-5353
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BRIDGESIDE COUNSELING SERVICES, PLLC is a mental health counselor in Wilmington, NC. BRIDGESIDE COUNSELING SERVICES, PLLC NPI is 1285307348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3173 WRIGHTSVILLE AVE
WILMINGTON, NC
ZIP 28403-184
Phone: (910) 769-5353
Fax: (910) 660-0526

The provider's authorized official is Patricia Dale Estadt .
The authorized official title is Owner and has the following contact phone number (931) 769-5353.

The enumeration date for this NPI number is 7/26/2021 and was last updated on 7/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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