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LIFE CHANGINGBEHAVIORAL HEALTH SERVICES NPI 1952531188


NPI Information

NPI: 1952531188
Provider Name: LIFE CHANGINGBEHAVIORAL HEALTH SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
817B S MADISON ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 640-3008
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LIFE CHANGINGBEHAVIORAL HEALTH SERVICES is a community behavioral health in Whiteville, 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. LIFE CHANGINGBEHAVIORAL HEALTH SERVICES NPI is 1952531188. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

817B S MADISON ST
WHITEVILLE, NC
ZIP 28472-613
Phone: (910) 640-3008
Fax: (910) 640-3008

The provider's authorized official is Luis Roman .
The authorized official title is Coo and has the following contact phone number (910) 770-2682.

The enumeration date for this NPI number is 7/22/2009 and was last updated on 9/23/2011.


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 License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251S00000XCommunity/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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16006847MEDICAIDNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.