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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

NPI Number 1912137050
LBN Legal business name LIFE CHANGING BEHAVIRAL HEALTH SERVICES
Authorized official LUIS ROMAN - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2009
Last updated 06/18/2010 - About 16 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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