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Lifebridge Community Services, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Fairfield, Connecticut
NPI 1750378667

Lifebridge Community Services, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Fairfield, CT and is specialized in Mental Health (Including Community Mental Health Center). Lifebridge Community Services, Inc practices in Fairfield, CT. The NPI Number for Lifebridge Community Services, Inc is 1750378667 and holds a License No. 0334 (Connecticut).

The current practice location address for Lifebridge Community Services, Inc is 125 Penfield Road, Fairfield, CT and can be reached out via phone at 203-255-5777 and via fax at 203-259-9673. You can also correspond with Lifebridge Community Services, Inc through the mailing address at 125 PENFIELD RD., FAIRFIELD, CT - 06824-6639 (mailing address contact number: 203-255-5777).

Location: 125 Penfield Road, Fairfield, CT, 06824-6639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750378667
Provider Name
Lifebridge Community Services, Inc
Credential
Provider Entity Type
Organization
Address
125 Penfield Road, Fairfield, CT, 06824-6639
Phone Number
203-255-5777
Fax Number
203-259-9673
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004069985 05 CT
004083606 05 CT
institution
Provider Business Practice Location Address Details
Address
125 Penfield Road
City
Fairfield
State
Connecticut
Zip
06824-6639
Phone Number
203-255-5777
Fax Number
203-259-9673
person
Provider Business Mailing Address Details
Address
125 Penfield Road
City
Fairfield
State
Connecticut
Zip
06824-6639
Phone Number
203-255-5777
Fax Number
203-259-9673
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0400 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
0400 (Connecticut)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
0334 (Connecticut)
Definition
Definition to come...
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