LIFE BRIDGES, INC – NPI #1700928876
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LIFE BRIDGES, INC is a provider located in CLEVELAND, TN. NPPES has assigned the NPI number 1700928876 to LIFE BRIDGES, INC on February 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jun 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFE BRIDGES, INC below.

NPI Profile for
LIFE BRIDGES, INC

NPI Number
1700928876
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFE BRIDGES, INC
Primary location
764 OLD CHATTANOOGA PK.
CLEVELAND, TN 37311
Phone: (423) 472-5268 Fax: (423) 479-1492
Mailing address
PO BOX 29
CLEVELAND, TN 37364-0029
Phone: (423) 472-5268 Fax: (423) 479-1492
Organization Subpart
No
Authorized Official
DIANA JACKSON
CHIEF EXECUTIVE OFFICER
Phone: (423) 472-5268
Updated
Certification Date
Jun 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363A00000X
- Physician Assistant		 TN 1509
343900000X
- Non-emergency Medical Transport (VAN)
225X00000X
- Occupational Therapist		 TN OT2755
2084N0400X
- Psychiatry & Neurology / Neurology		 TN 20193
2083P0901X
- Preventive Medicine / Public Health & General Preventive Medicine
103K00000X
- Behavior Analyst
101YM0800X
- Counselor / Mental Health		 TN LPC0000000617

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.