Life Bridge Therapy
Life Bridge Therapy is a Clinical Social Worker in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
2507 Curtis RdChampaign, IL 61822-9630
Phone: (217) 329-1346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149015301 (IL) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 166000861 (IL) |
Record details
| NPI number | 1235533506 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deborah Crandall — Owner · (217) 329-1346 |
| NPI enumerated | October 15, 2014 |
| Last updated in NPPES | October 15, 2014 |
| Mailing address | 2507 Curtis Rd, Champaign, IL 61822-9630 |
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