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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFE BRIDGE THERAPY

Active Organization

LIFE BRIDGE THERAPY is a Clinical Social Worker organization located in CHAMPAIGN, Illinois. NPI 1235533506 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHAMPAIGN, IL

Registration Details

NPI Number
1235533506
Provider Type
Organization
NPI Issued
Oct 15, 2014 (11.807819726203 yrs)
Last Updated
Oct 15, 2014
Licenses
166000861 (IL)
149015301 (IL)

Practice Information

Address
2507 CURTIS RD
CHAMPAIGN, IL, 618229630
Browse IL providers · Browse ZIP 61822
Phone
2173291346
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Organizations in CHAMPAIGN, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.