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

Bridgewell Residential Services, LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1396692448

Bridgewell Residential Services, LLC is a Mental Illness Community Based Residential Treatment Facility in Goldsboro, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 McLain St
Goldsboro, NC 27534
Phone: (919) 394-6718
Fax: (919) 288-1276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1396692448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candra Edwards — Owner, Clinical Director · (910) 990-1190
Other names Bridgewell Residential Services
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 11, 2026
Mailing address112 Tiburon Ct, Goldsboro, NC 27534-7085

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