Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridge to Affective Wellnes, PLLC

Organization Psychiatry Physician · NPI 1366167256

Bridge to Affective Wellnes, PLLC is a Psychiatry Physician in Concord, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1028 Lee-Ann Dr NE Ste 60
Concord, NC 28025-2903
Phone: (980) 272-1908
Fax: (704) 787-9920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Geriatric Psychiatry Physician Taxonomy 2084P0805X

Record details

NPI number1366167256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Pryor — Practice Manager · (980) 272-1908
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address1028 Lee-Ann Dr. Ne, Suite 60, Concord, NC 28025-2903

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