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LIFE BRIDGES, INC

Behavioral Analyst

Cleveland, Tennessee

Provider NPI: 1700928876

Organization Information:
Organization Name:  LIFE BRIDGES, INC
Organization is not Subpart
Authorized Official:  DIANA  JACKSON  CHIEF EXECUTIVE OFFICER  423-4725268

Practice Location:
764 OLD CHATTANOOGA PK.  CLEVELAND, TN 37311 US
Tel: 423-472-5268  Fax: 423-479-1492

Business Mailing Address:
PO BOX 29  CLEVELAND, TN 37364 US
Tel: 423-472-5268  Fax: 423-479-1492

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
TNLPC0000000617
N103K00000X
N2083P0901XPhysicians
Preventive Medicine
N2084N0400XPhysicians
Psychiatry & Neurology
TN20193
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
TNOT2755
N343900000XTransportation Services
Non-emergency Medical Transport (VAN)
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
TN1509
Y207Q00000XPhysicians
Family Medicine









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