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Contact Information

LIFE CHANGING BEHAVIRAL HEALTH SERVICES
314 S MAIN ST
FAIRMONT, NC28340-1906
 Phone: 910-628-9091
 Fax: 910-628-9093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LIFE CHANGING BEHAVIRAL HEALTH SERVICES · (Female)

NPI # 1912137050
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2009
Last updated 06/18/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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