Bridging Lyfe Health Inc
LBN: Bridging Lyfe Health Inc
Bridging Lyfe Health Inc is an health care organization with primary practice located at 1000 Main St Apt 3H , Evanston IL 60202-1770. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Bridging Lyfe Health Inc can be contacted via phone (708) 734-5255, or through Redmon, Iona via phone (708) 734-5255.
Contact Information
Primary practice address
1000 Main St Apt 3H
Evanston IL 60202-1770
Phone: (708) 734-5255
Fax:
Website:
Authorized official contact:
Name: Redmon, Iona Licensed Clinical Social Worker (LCSW)
Phone: (708) 734-5255
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1871356964 |
---|---|
LBN Legal business name | Bridging Lyfe Health Inc |
DBA Doing business as | |
Authorized official | Redmon, Iona Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 1st, 2024 |
Last updated | Feb 21st, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871356964 | NPPES |
Illinois | MEDICAID | 356801206001 |
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