Organization Name: | LIFEBRIDGE COUNSELING, LLC |
NPI Number: | 1518342393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA M MCDOWELL (DIRECTOR) |
Mailing Address: | 5673 Airport Rd Roanoke |
State: | VA US |
Postal Code: | 240121119 |
Phone Number: | 5403447700 |
Fax Number: | 5403447701 |
NPI Enumeration Date: | 07/22/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |