Bridge to Affective Wellnes, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BRIDGE TO AFFECTIVE WELLNES, PLLC

Practice address

1028 Lee-Ann Dr. NE
Suite 60
Concord, NC 28025-2903

Phone

(980) 272-1908

Fax

(704) 787-9920

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alisha Massey Pryor

Title

Practice Manager

Phone

(980) 272-1908

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1366167256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LEE-ANN DR. NE",
            "address_2": "SUITE 60",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252903",
            "telephone_number": "980-272-1908",
            "fax_number": "704-787-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 LEE-ANN DR. NE",
            "address_2": "SUITE 60",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252903",
            "telephone_number": "980-272-1908",
            "fax_number": "704-787-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO AFFECTIVE WELLNES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "MASSEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "980-272-1908"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Lynn Brennan, LMBT MMP
• Jaedyn J Brewer
• Kiddy Pierre Brewer, FNP-C
• Scott Alexander Brewster, PHARMD
• Paul Brezicki, MD
• Rachelle Monique Bridgeforth, MSW
• Bright Rising Home Care
• Bright Rising Wellness Care LLC
• Georgeann R. Bright, OT
• Brightcare Home Care LLC

• Psychiatry Physician in Concord, NC
• Providers in Concord, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.