Provider Demographics
NPI:1932236171
Name:BRIDGES, KAREN N (LPA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:N
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 NORTHPOINT AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7738
Mailing Address - Country:US
Mailing Address - Phone:336-841-6083
Mailing Address - Fax:336-841-6330
Practice Address - Street 1:155 NORTHPOINT AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7738
Practice Address - Country:US
Practice Address - Phone:336-841-6083
Practice Address - Fax:336-841-6330
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC605103T00000X
NC9705101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107106Medicaid