Lifebond PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFEBOND PLLC

Practice address

323 E 2ND Ave Ste 201
Spokane, WA 99202-1455

Phone

(509) 998-7115

NPI assigned

Oct 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura BergNPI 1124473087

Title

Owner

Phone

(347) 427-5655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Lifebond PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifebond PLLC

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1205623485
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Ann Berg, MSW

  • Social Worker
  • Spokane, WA
  • NPI 1124473087

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Lorri Jean Hanson, MSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1861957565
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1003637521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S MONROE ST STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043838",
            "telephone_number": "509-998-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E 2ND AVE STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021455",
            "telephone_number": "509-998-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBOND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-427-5655"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Lienhard, PHARMD
• William Liening, PA-C
• Morgan Ashley Liesman
• Life Compass Counseling
• Life Directions Counseling PLLC
• Lifebond PLLC
• Lifeline Counseling and Community Services
• Jason Light
• Crystalena Rosa F Lightel
• Haley Rae Lightfoot

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.