| Inspiration Bridgeway LLC | |
|
76 Johnny Marlow Rd Fairview NC 28730-9641 | |
| (828) 551-7571 | |
| Not Available |
| Full Name | Inspiration Bridgeway LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 76 Johnny Marlow Rd, Fairview, North Carolina |
| Authorized Official Name and Position | Amanda Brettillo (CEO) |
| Authorized Official Contact | 8285517571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiration Bridgeway LLC 76 Johnny Marlow Rd Fairview NC 28730-9641 Ph: (828) 551-7571 | Inspiration Bridgeway LLC 76 Johnny Marlow Rd Fairview NC 28730-9641 Ph: (828) 551-7571 |
| NPI Number | 1528816568 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528816568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 347C00000X | Private Vehicle | (NU) | Secondary |
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