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Organization
LIFE BRIDGE THERAPY SERVICES LLC
Active
Organization
LIFE BRIDGE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVETTE BEACHAM (FOUNDER)
(216) 533-2614
Entity
Organization
Contact information
Practice address
5010 MAYFIELD RD STE 210, LYNDHURST, OH 44124-2692
(216) 533-2614
Mailing address
26151 LAKE SHORE BLVD APT 1409, EUCLID, OH 44132-1156
(216) 533-2614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
07/25/2022
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