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Contact Information

LIFE CHANGERS INTERVENTION SERVICES LLC
5039 MAIN ST SUITE 2
SHALLOTTE, NC28470
 Phone: 910-754-7988
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LIFE CHANGERS INTERVENTION SERVICES LLC

NPI # 1356539795
LBN Legal business name LIFE CHANGERS INTERVENTION SERVICES LLC
Authorized official BEVERLY STANLEY - (OWNER/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2007
Last updated 04/24/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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