MEDICARE: INNER BRIDGES THERAPY AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245119429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER BRIDGES THERAPY AND WELLNESS

Provider Business Mailing Address
First Line	:	4370 SILSBY RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3937
Country	:	US
Telephone Number	:	216-435-1517
Fax Number	:

Provider Business Practice Location Address
First Line	:	23811 CHAGRIN BLVD STE 116
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5525
Country	:	US
Telephone Number	:	734-489-4273
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KELLY D LEEDY
Credential	:	LISW-S
Telephone Number	:	216-435-1517

Provider Enumeration Date	:	09/01/2025
Last Update Date	:	02/08/2026

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Directions to “INNER BRIDGES THERAPY AND WELLNESS ” Practice Location

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