Provider Demographics
NPI:1770837692
Name:WOLFE, BRIDGET RIMPF (LCAS, LPC, CSI)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:RIMPF
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LCAS, LPC, CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 OLD US 70 HWY W
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-6566
Mailing Address - Country:US
Mailing Address - Phone:919-359-1699
Mailing Address - Fax:
Practice Address - Street 1:1699 OLD US 70 HWY W
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-6566
Practice Address - Country:US
Practice Address - Phone:919-359-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2060101YA0400X
NC9525101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health