Life Bridge Therapy

LBN: Life Bridge Therapy
Life Bridge Therapy is an health care organization with primary practice located at 2507 Curtis Rd , Champaign IL 61822-9630. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Life Bridge Therapy can be contacted via phone (217) 329-1346, or through Crandall, Deborah via phone (217) 329-1346.

Contact Information

Primary practice address
2507 Curtis Rd Champaign IL 61822-9630
Phone: (217) 329-1346
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crandall, Deborah Licensed Clinical Social Worker (LCSW)
Phone: (217) 329-1346

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149015301 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000861 Illinois

Profile Details

NPI number 1235533506
LBN Legal business name Life Bridge Therapy
DBA Doing business as
Authorized official Crandall, Deborah Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2014
Last updated Oct 15th, 2014 - about 10 years 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.

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