LIFE CHANGING BEHAVIORAL HEALTH SERVICES (NPI# 1265765606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765606 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGING BEHAVIORAL HEALTH SERVICES |
| Practice Address |
314 S Main St Fairmont NC 28340-1906 |
| Practice Telephone | 9106289091 |
| Practice Fax Number | 9106289093 |
| Mailing Telephone | 9106289091 |
| Mailing Fax Number | 9106289093 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | MR. LUIS ROMAN (COO) |
| Authorized Official Telephone | 9107702682 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760728125 | Life Changing Behavioral Health Services | Counselor | 1021a W 5th St, Lumberton, NC 28358-5417 | 2012-12-12 |
| 1811208747 | Life Changing Behavioral Health Services | Psychiatry & Neurology | 314 S Main St, Fairmont, NC 28340-1906 | 2010-06-25 |
| 1275864266 | Life Changing Behavioral Health Services | Community/Behavioral Health | 817b S Madison St, Whiteville, NC 28472-4613 | 2010-01-15 |
| 1073846416 | Life Changing Behavioral Health Services | Home Health | 314 S Main St, Fairmont, NC 28340-1906 | 2009-09-17 |
| 1336472778 | Life Changing Behavioral Health Services | Community/Behavioral Health | 304 S Main St, Fairmont, NC 28340-1906 | 2009-09-17 |
| Street Address |
314 S MAIN ST |
| City | FAIRMONT |
| State | NC |
| Zip Code | 28340-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736252 | Linking Services | Specialist | 314 S Main St, Fairmont, NC 28340-1906 | 2005-10-31 |
| 1811208747 | Life Changing Behavioral Health Services | Psychiatry & Neurology | 314 S Main St, Fairmont, NC 28340-1906 | 2010-06-25 |
| 1073846416 | Life Changing Behavioral Health Services | Home Health | 314 S Main St, Fairmont, NC 28340-1906 | 2009-09-17 |
| 1558591685 | Life Changing Behaviral Health Services | Day Training, Developmentally Disabled Services | 314 S Main St, Fairmont, NC 28340-1906 | 2009-07-23 |
| 1912137050 | Life Changing Behaviral Health Services | Counselor | 314 S Main St, Fairmont, NC 28340-1906 | 2009-07-23 |
| 1730319872 | Life Changing Behaviral Health Services | Home Health | 314 S Main St, Fairmont, NC 28340-1906 | 2009-07-23 |
| 1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
| 1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
| 1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
| 1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
| 1225039340 | Lionel Nelson Chamberlain | Optometrist | 204 Iona St, Fairmont, NC 28340-1616 | 2005-08-10 |
| Find all providers in zip 28340 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275076374 | Live.well LLC | Community/Behavioral Health | 517 Fairmont Ave, Fairmont, WV 26554-5101 | 2016-11-22 |
| 1013459627 | Synergy Integrative Counseling Services LLC | Community/Behavioral Health | 379 Dean Dr, Fairmont, WV 26554-8858 | 2016-11-14 |
| 1851728646 | Professional Christian Counseling Services | Community/Behavioral Health | 102 Ridgeview Dr, Fairmont, WV 26554-8303 | 2013-10-11 |
| 1942568316 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| 1932338365 | Heather Mcdonnell-stalnaker, Lpc, LLC | Community/Behavioral Health | 701 Benoni Avenue Suite 302, Hutchinson Professional Suites, Fairmont, WV 26554 | 2009-07-07 |
| 1477796639 | Pathways Therapeutic Group, Inc | Community/Behavioral Health | 2268 Marion Stage Rd, Fairmont, NC 28340-7580 | 2009-04-16 |
| 1336351469 | National Youth Advocate Program | Community/Behavioral Health | 1036 Speedway Avenue, Suite 2, Fairmont, WV 26554 | 2007-05-03 |
| 1568861110 | Essential Needs Homecare | Community/Behavioral Health | 2019 Pleasant Valley Rd, Fairmont, WV 26554-9295 | 2014-08-20 |
| 1215295688 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| 1679831044 | Family Service of Marion and Harrison Counties | Community/Behavioral Health | 1313 Locust Ave Ste 1, Fairmont, WV 26554-1517 | 2012-04-24 |
| Find all providers in FAIRMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.