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LIFECHANGES FAMILY GUIDANCE & WELLNESS INC. NPI 1417148420


NPI Information

NPI: 1417148420
Provider Name: LIFECHANGES FAMILY GUIDANCE & WELLNESS INC.

Doing Business As: OPEN DOORS COUNSELING & WELLNESS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1922 MLK JR. DRIVE
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 776-3154
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LIFECHANGES FAMILY GUIDANCE & WELLNESS INC. is a community behavioral health in Winston Salem, NC. 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. LIFECHANGES FAMILY GUIDANCE & WELLNESS INC. NPI is 1417148420. The provider is registered as an organization entity type.
The provider Is Doing Business As Open Doors Counseling & Wellness.

The provider's business location address is:

1922 MLK JR. DRIVE
WINSTON SALEM, NC
ZIP 27107-361
Phone: (336) 776-3154
Fax: (336) 464-2071

The provider's authorized official is Latrina Devonne Winford .
The authorized official title is Ceo and has the following contact phone number (336) 577-6652.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 5/23/2022.


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
1251B00000XCase ManagementSOUTH CAROLINANo
2101YP2500XCounselorProfessionalNo
3251E00000XHome HealthNo
4253Z00000XIn Home Supportive CareNo
5251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP8090MEDICAIDSOUTH CAROLINA

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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