BRIDGING LYFE PLLC NPI 1528781135

NPI Information

NPI: 1528781135
Provider Name: BRIDGING LYFE PLLC
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Address: 2816 188TH ST
LANSING, IL
ZIP 60438
Phone: (708) 734-5255

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NPI Details

BRIDGING LYFE PLLC is an adolescent and children mental health clinic center in Lansing, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. BRIDGING LYFE PLLC NPI is 1528781135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2816 188TH ST
LANSING, IL
ZIP 60438-402
Phone: (708) 734-5255

The provider's authorized official is Iona Dadzie .
The authorized official title is Lcsw and has the following contact phone number (708) 855-0783.

The enumeration date for this NPI number is 9/20/2022 and was last updated on 7/16/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	251S00000X	Community/Behavioral Health		No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes

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: 11/21/2025

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