Provider Demographics
NPI:1265059448
Name:CAIN, BRIDGET (LCAS, CSI, MSW)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:CAIN
Suffix:
Gender:F
Credentials:LCAS, CSI, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ENOCHS WAY
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-5401
Mailing Address - Country:US
Mailing Address - Phone:336-466-0294
Mailing Address - Fax:
Practice Address - Street 1:119 TUNNEL RD STE E
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1800
Practice Address - Country:US
Practice Address - Phone:286-069-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-26502101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)