Bridging Lyfe LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIDGING LYFE LLC

Practice address

2038 E 72ND PL
Ste 2
Chicago, IL 60649

Phone

(770) 624-7406

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Iona Redmon, LCSW

Title

Owner/Clinician

Phone

(773) 454-8612

Specialties & licenses 1

Addresses

Practitioners 1

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

• Iona Dadzie, LCSW

  • Clinical Social Worker
  • Lansing, IL
  • NPI 1578820957
  NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1538736962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 165TH ST",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604096203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 E 72ND PL",
            "address_2": "STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60649",
            "telephone_number": "770-624-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING LYFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "REDMON",
        "authorized_official_first_name": "IONA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "773-454-8612",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenay Nicole Bridges, PH.D.
• Bridgette Love
• Bridgewrights LLC
• Bridgford Nurse Anesthesia Services
• Shelbie Rene Bridgham
• Bridging the Tys to Jordan Inc
• Sacha Bridi, D.O
• Karl Briedrick, LPC
• Joaquin Carlos Brieva, MD
• Tess Brieva

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.