Organization · Type 2 NPI

Lifebridge Community Services, Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Fairfield, CT

NPI number 1750378667 Active

Practice location

125 Penfield Road
Fairfield, CT 06824-6639

Call (203) 255-5777 Map

Fax (203) 259-9673

Mailing address

125 Penfield Rd.
Fairfield, CT 06824-6639

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	0334 (CT)
Marriage & Family Therapist	106H00000X	0400 (CT)
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	0400 (CT)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Fairfield

See all in Fairfield →

NPI record

NPI: 1750378667
Entity type: Organization (Type 2)
Issued: Oct 5, 2005
Last updated: Nov 18, 2020
Status: Active

Other names

<unavail>
Fairfield Counseling Services, Inc · other name
Fairfield Counseling Services, Inc · other name

Authorized official

Frank Farias
Chief Financial & HR Officer
(203) 368-4291

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1750378667

Lifebridge Community Services, Inc's National Provider Identifier is 1750378667, issued on Oct 5, 2005. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fairfield, CT. The record was last updated on Nov 18, 2020.