Fairfield Counseling Services, Inc

LBN: Lifebridge Community Services, Inc
Fairfield Counseling Services, Inc is an health care organization with primary practice located at 125 Penfield Road , Fairfield CT 06824-6639. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, 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. Lifebridge Community Services, Inc can be contacted via phone (203) 255-5777, or through Farias, Frank via phone (203) 368-4291.

Contact Information

Primary practice address
125 Penfield Road Fairfield CT 06824-6639
Phone: (203) 255-5777
Fax: (203) 259-9673
Website:
Map and Directions
Authorized official contact:
Name: Farias, Frank
Phone: (203) 368-4291

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0334 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0400 Connecticut
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 0400 Connecticut
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Connecticut

Profile Details

NPI number 1750378667
LBN Legal business name Lifebridge Community Services, Inc
DBA Doing business as Fairfield Counseling Services, Inc
Authorized official Farias, Frank
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Nov 18th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750378667 NPPES
Connecticut MEDICAID 004069985
Connecticut MEDICAID 004083606

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