LIFE CHANGING BEHAVIRAL HEALTH SERVICES (NPI# 1912137050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912137050 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGING BEHAVIRAL 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 | 2009-07-23 |
| Last Update Date | 2010-06-18 |
| 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 |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558591685 | Life Changing Behaviral Health Services | Day Training, Developmentally Disabled Services | 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 |
| 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 |
| 1265765606 | Life Changing Behavioral Health Services | Community/Behavioral 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 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| 1487778163 | Elissa Jane Hoffman | Psychiatry & Neurology | 3 Crosswinds Dr, Youth Academy, LLC, Fairmont, WV 26554-9193 | 2007-03-19 |
| 1235152299 | Shahnaz Younus | Psychiatry & Neurology | 28 Oakwood Rd, Fairmont, WV 26554 | 2006-07-25 |
| 1326556713 | Michele Marie Barnett | Psychiatry & Neurology | 117 Downtown Plz, Fairmont, MN 56031-1726 | 2018-01-19 |
| 1740688167 | Frmc Physicians, Inc. | Psychiatry & Neurology | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-12-17 |
| 1336302058 | Todd Ashley Mages | Psychiatry & Neurology | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2008-07-02 |
| 1376729244 | James David Abel | Psychiatry & Neurology | 1228 Country Club Rd, Suite 800, Fairmont, WV 26554-2369 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851696 | Cana Psychiatric Health | Psychiatry & Neurology | 1846 E Innovation Park Dr #100, Oro Valley, NC 27502-2750 | 2020-11-04 |
| 1750999876 | Integral Mental Healthcare Pllc | Psychiatry & Neurology | 1105 Walnut St Ste F-16031, Cary, NC 27511-4762 | 2020-07-14 |
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1639792245 | Summit Health Psychiatry, PC | Psychiatry & Neurology | 226 Shannon Rd, Hendersonville, NC 28791-8739 | 2020-05-19 |
| 1083240592 | Sabrina Michelle Campbell | Psychiatry & Neurology | 1601 Brenner Ave Bldg 8-1, Salisbury, NC 28144-2515 | 2020-03-16 |
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1538794276 | Carolina Psychiatry Center, Pllc | Psychiatry & Neurology | 301 Keisler Dr Ste A, Cary, NC 27518-7018 | 2020-03-03 |
| 1568002608 | Avant Medical Consulting Pllc | Psychiatry & Neurology | 109 Rosegarten Ct, New Bern, NC 28562-1016 | 2020-01-07 |
| 1518503994 | Mental Health Associates and Addiction | Psychiatry & Neurology | 1944 Hendersonville Rd # D-1a, Asheville, NC 28803-2351 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.