Lifebridge Drug and Substance Abuse

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFEBRIDGE DRUG AND SUBSTANCE ABUSE

Practice address

2501 E Elizabethtown Rd
Lumberton, NC 28358-3225

Phone

(312) 730-0662

NPI assigned

Jul 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Shelia D Murphy

Title

Ceo

Phone

(312) 730-0662

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Letitia Marie Hazel, MD

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1588641880
  Medicare reassignment NPD

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1801141940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E ELIZABETHTOWN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583225",
            "telephone_number": "312-730-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E ELIZABETHTOWN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583225",
            "telephone_number": "312-730-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Eastway Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282137104",
            "country_code": "US",
            "telephone_number": "910-738-7880",
            "fax_number": "910-738-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEBRIDGE DRUG AND SUBSTANCE ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-15",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-730-0662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "805",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Healthcare Group, LLC
• Liberty Healthcare Group, LLC
• Life Changing Behavioral Health Services
• Life Enhancement Services
• Life Solutions
• Lifebridge Healthcare
• Lifebridge Speech Solutions
• Elezabeth Mary Lijo
• Shu Lin, M.D.
• Brittany Priest Lindsay, FNP-C

• Community/Behavioral Health Agency in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.