Lifebridge Behavior Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFEBRIDGE BEHAVIOR SERVICES

Practice address

516 Chester Ave
Clifton Heights, PA 19018-2524

Phone

(267) 808-3562

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Deosha Adams

Title

Owner

Phone

(267) 808-3562

Specialties & licenses 2

Addresses

Other names 1

• LifeBridge Behavior Services Doing business as

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1700623618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 CHESTER AVE",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190182524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CHESTER AVE",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190182524",
            "telephone_number": "267-808-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DEOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-808-3562"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeBridge Behavior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Clifton Heights, PA
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.