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BRIDGES ACADEMY LLC NPI 1083010342


NPI Information

NPI: 1083010342
Provider Name: BRIDGES ACADEMY, LLC

Former Legal Business Name: INDIVISUAL CONSULTING, LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5911 N LEADER AVE
CHICAGO, IL
ZIP 60646
Phone: (773) 332-7382
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BRIDGES ACADEMY, LLC is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BRIDGES ACADEMY, LLC NPI is 1083010342. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Indivisual Consulting, Llc.

The provider's business location address is:

5911 N LEADER AVE
CHICAGO, IL
ZIP 60646-625
Phone: (773) 332-7382
Fax: (773) 305-0915

The provider's authorized official is Jayme L Crooks .
The authorized official title is Executive Director and has the following contact phone number (773) 332-7382.

The enumeration date for this NPI number is 11/14/2014 and was last updated on 11/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst10-7278ILLINOISNo
2251S00000XCommunity/Behavioral Health10-7278ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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