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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:
Tel: 423-472-5268  Fax: 423-479-1492

Business Mailing Address:
Tel: 423-472-5268  Fax: 423-479-1492

Entity Type: Organization


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


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