LIFESOURCE THERAPY LLC
NPI 1003660036
Counselor - Mental Health in Bend, OR

Q: What is Lifesource Therapy LLC's NPI number?

The NPI number for Lifesource Therapy LLC is 1003660036. It was assigned to this organization in the NPPES registry on April 16, 2024. The provider is also known as Gina Lawrence.

Q: What is Lifesource Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 16, 2024

24455 DODDS RD, BEND, OR 97701(541) 777-7230 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lifesource Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESOURCE THERAPY LLC (NPI 1003660036) is a healthcare organization registered as a mental health in Bend, Oregon and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Silsbee and lists Gina R Lawrence, Provider, as its authorized official.

NPPES Registry Identity

NPI1003660036

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameLIFESOURCE THERAPY LLC

Location Address24455 DODDS RDBend, OR 97701-9665

Mailing Address1900 Ne 3rd St Ste 106Bend, OR 97701-3889 · (541) 777-7230

Phone(541) 777-7230

Organization SubpartNo

Authorized OfficialGina R LawrenceProvider · (541) 777-7230

Enumeration DateApril 16, 2024

Last NPPES UpdateAugust 18, 2025

NPPES CertifiedAugust 18, 2025

✔ NPI 1003660036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

24455 DODDS RD, Bend, OR 97701

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Other Names 1

Other NameGina Lawrence

Secondary Practice Location 1

Location 1103 Lucky DrSilsbee, TX 77656-3107 · Phone (541) 777-7230

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA LAWRENCE

Counselor (Mental Health)

24455 DODDS RD
BEND, OR 97701

Deschutes County (541) 777-7230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifesource Therapy LLC's NPI number?

The NPI number for Lifesource Therapy LLC is 1003660036. It was assigned to this organization in the NPPES registry on April 16, 2024. The provider is also known as Gina Lawrence.

Where is Lifesource Therapy LLC located?

Lifesource Therapy LLC is located at 24455 Dodds Rd, Bend, OR 97701. The listed phone number is (541) 777-7230.

What is Lifesource Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Lifesource Therapy LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Lifesource Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifesource Therapy LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.