Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Bridges, Inc

Organization Mental Health Counselor · NPI 1700928876

Life Bridges, Inc is a Mental Health Counselor in Cleveland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

764 Old Chattanooga Pk
Cleveland, TN 37311
Phone: (423) 472-5268
Fax: (423) 479-1492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC0000000617 (TN)
Behavior Analyst Taxonomy 103K00000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Neurology Physician Taxonomy 2084N0400X · Licence 20193 (TN)
Occupational Therapist Taxonomy 225X00000X · Licence OT2755 (TN)
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Physician Assistant Taxonomy 363A00000X · Licence 1509 (TN)

Record details

NPI number1700928876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Jackson — Chief Executive Officer · (423) 472-5268
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing addressPo Box 29, Cleveland, TN 37364-0029

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