Bridges, Tanjalesa

Bridges, Tanjalesa is an individual health care provider with primary practice located at 1601 S Sterling St , Morganton NC 28655-4097. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bridges, Tanjalesa can be contacted via phone (828) 337-3313.

Contact Information

Primary practice address
1601 S Sterling St Morganton NC 28655-4097
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005378 North Carolina

Profile Details

NPI number 1073646741
LBN Legal business name Bridges, Tanjalesa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073646741 NPPES
North Carolina Other 146UA BCBSNC
North Carolina MEDICAID 6106425 BCBSNC

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