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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community/Behavioral Health |
251S00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Other Service Providers |
175T00000X | |||
Professional |
101YP2500X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1891317657 |
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| LBN Legal business name | CHANGING LIVES THERAPEUTIC SERVICE, LLC | ||||||||
| Authorized official | CEMETRIUS ROLLE - (CO-OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/14/2020 | ||||||||
| Last updated | 03/24/2025 - More than a year ago | ||||||||
| Identifiers |
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CHANGING LIVES THERAPEUTIC SERVICE, LLC