Bridginglyfehealth Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRIDGINGLYFEHEALTH INC

Doing business as

Bridginglyfehealth Inc

Practice address

2816 188TH St
Lansing, IL 60438-3402

Phone

(708) 734-5255

NPI assigned

Feb 1, 2024

Last updated

Jul 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Iona DadzieNPI 1578820957

Title

Licensed Clinical Social Worker

Phone

(708) 855-0783

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRIDGINGLYFEHEALTH INC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Bridging Lyfe 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.

• Bridging Lyfe PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lansing, IL
  • NPI 1528781135
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iona Dadzie, LCSW

  • Clinical Social Worker
  • Lansing, IL
  • NPI 1578820957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1871356964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 GOVERNORS HWY STE 206",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611068",
            "telephone_number": "708-734-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 188TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383402",
            "telephone_number": "708-734-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGINGLYFEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "DADZIE",
        "authorized_official_first_name": "IONA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "708-855-0783"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356801206001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGINGLYFEHEALTH INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmanuel Boutcheko
• Malerie Ann Boylan, DT
• Bqualls Behavioral Health Services, LLC
• Brandon Douglas Branch
• Bridging Lyfe PLLC
• Bright Future Open Hearts, Inc.
• Bright Hope Counseling, LLC
• Robin Dachon Brown, RXM
• Therese A Bugaj, APN-CRNA
• C & a Account Techs LLC

• Clinical Social Worker in Lansing, IL
• Providers in Lansing, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.