BRIDGETT PRINCESS WILEY
NPI 1336886027
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since May 16, 2022

6639 SOUTHPOINT PKWY STE 108, JACKSONVILLE, FL 32216(904) 438-7640(904) 438-7656 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bridgett Princess Wiley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGETT PRINCESS WILEY (NPI 1336886027) is an individual addiction (substance use disorder) provider in Jacksonville, Florida and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1336886027

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameBRIDGETT PRINCESS WILEY

Location Address6639 SOUTHPOINT PKWY STE 108Jacksonville, FL 32216-8042

Mailing Address488 Skate RdAtlantic Beach, FL 32233-3822 · (904) 535-4154

Phone(904) 438-7640

Fax(904) 438-7656

Sole ProprietorYes

Enumeration DateMay 16, 2022

NPPES CertifiedMay 16, 2022

✔ NPI 1336886027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

6639 SOUTHPOINT PKWY STE 108, Jacksonville, FL 32216

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP