Lifebridge Counseling, Llc

LBN: Mark Bogert
Lifebridge Counseling, Llc is an health care organization with primary practice located at 5673 Airport Rd , Roanoke VA 24012-1119. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Mark Bogert can be contacted via phone (540) 523-8080, or through Mcdowell, Lisa M via phone (540) 523-8054.

Contact Information

Primary practice address
5673 Airport Rd Roanoke VA 24012-1119
Phone: (540) 523-8080
Fax: (540) 562-8867
Website:
Map and Directions
Authorized official contact:
Name: Mcdowell, Lisa M LPC, LSATP, NCC
Phone: (540) 523-8054

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1518342393
LBN Legal business name Mark Bogert
DBA Doing business as Lifebridge Counseling, Llc
Authorized official Mcdowell, Lisa M LPC, LSATP, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2015
Last updated Nov 8th, 2016 - about 9 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 1518342393 NPPES
Virginia MEDICAID 601035424

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