CHANGING BEHAVIOR SERVICES, LLC (NPI# 1902103617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902103617 |
| Entity Type | Organization |
| Organization Name | CHANGING BEHAVIOR SERVICES, LLC |
| Practice Address |
1434 Hawn Ave Ste. 12 Shreveport LA 71107-6508 |
| Mailing Address |
Po Box 78776 Shreveport LA 71137-8776 |
| Practice Telephone | 3186750224 |
| Practice Fax Number | 3186750226 |
| Mailing Telephone | 3186750224 |
| Mailing Fax Number | 3186750226 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2017-12-02 |
| Authorized Official Name | MS. PAMELA MICHELLE PHILLIPS (OWNER) |
| Authorized Official Telephone | 3186175869 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 10111532#MVA42 | LA | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1434 Hawn Ave, Ste. 12, Shreveport, LA 711076508 | 3186750224 | 3186750226 |
| Street Address |
1434 HAWN AVE STE. 12 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334037 | Anedra Minor | Case Manager/Care Coordinator | 1434 Hawn Ave, Shreveport, LA 71107-6508 | 2020-07-27 |
| 1518582105 | Maddison Nicole Benge | Case Manager/Care Coordinator | 1434 Hawn Ave, Shreveport, LA 71107-6508 | 2020-06-10 |
| 1710466479 | Akikka Jharnae Williams | Case Manager/Care Coordinator | 1434 Hawn Ave, Shreveport, LA 71107-6508 | 2018-08-13 |
| 1013427756 | Ebony Mascola | Counselor | 1434 Hawn Ave, Shreveport, LA 71107-6508 | 2017-10-09 |
| 1790211233 | Tangeka Sawyer | Counselor | 1434 Hawn Ave, Suite 12, Shreveport, LA 71107 | 2017-05-03 |
| 1891228441 | Jared Speyrer | Case Manager/Care Coordinator | 1434 Hawn Ave, Suite 12, Shreveport, LA 71107-6508 | 2017-04-10 |
| 1427591783 | Aliya Rafikova | Counselor | 1434 Hawn Ave, Suite 12, Shreveport, LA 71107-6508 | 2016-11-18 |
| 1053862185 | Amber Nicole Williams | Specialist | 1434 Hawn Ave, #12, Shreveport, LA 71107-6508 | 2016-10-24 |
| 1275082810 | Angel Morris | Counselor | 1434 Hawn Ave, Shreveport, LA 71107-6508 | 2016-09-23 |
| 1336693738 | Frankie Jones | Counselor | 1434 Hawn Ave, Shreveport, LA 71107-6508 | 2016-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| 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 |
|---|---|---|---|---|
| 1558926113 | Renew Therapeutic Services, LLC | Community/Behavioral Health | 2924 Knight St Ste 424, Shreveport, LA 71105-2413 | 2019-05-08 |
| 1053818641 | Agape Love Counseling Service LLC | Community/Behavioral Health | 1513 Line Ave Ste 240, Shreveport, LA 71101-4621 | 2018-04-10 |
| 1851891865 | Magnolia Mental Health LLC | Community/Behavioral Health | 7629 Pines Rd, Shreveport, LA 71129-3905 | 2018-02-15 |
| 1891202776 | Allcare of Louisiana, Inc. | Community/Behavioral Health | 4615 Monkhouse Dr Ste 116, Shreveport, LA 71109-6123 | 2018-01-02 |
| 1467979708 | Finding A Better Me | Community/Behavioral Health | 2924 Knight St Ste 420, Shreveport, LA 71105-2413 | 2017-08-28 |
| 1518495779 | Bridges To Recovery, LLC | Community/Behavioral Health | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2017-05-31 |
| 1790210805 | Acenter for Hope and Change | Community/Behavioral Health | 6811 Sagewood Dr, Shreveport, LA 71129-9423 | 2017-04-26 |
| 1497289979 | Serenity Behavioral Health Service LLC | Community/Behavioral Health | 2000 Creswell Ave, Shreveport, LA 71104-2202 | 2017-04-12 |
| 1699212696 | Shenells | Community/Behavioral Health | 2120 N Hearne Ave Apt 403, Shreveport, LA 71107-7183 | 2017-01-27 |
| 1669918199 | Street Outreach Solutions,llc | Community/Behavioral Health | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-01-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
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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.