CHANGING BEHAVIOR SERVICES OF MINDEN LLC (NPI# 1922344621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922344621 |
| Entity Type | Organization |
| Organization Name | CHANGING BEHAVIOR SERVICES OF MINDEN LLC |
| Practice Address |
601 Homer Rd Minden LA 71055-2909 |
| Mailing Address |
Po Box 78776 Shreveport LA 71137-8776 |
| Practice Telephone | 3183716707 |
| Practice Fax Number | 3183778164 |
| Mailing Telephone | 3183716707 |
| Mailing Fax Number | 3183778164 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2017-12-02 |
| Authorized Official Name | MS. PAMELA MICHELLE PHILLIPS (BUSINESS MANAGER) |
| Authorized Official Telephone | 3186175869 |
| Authorized Official Credential | MBA |
| 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 | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | 10334080#B4P83 | LA | Agencies |
| Street Address |
601 HOMER RD |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972158483 | Deanza M. Andrews | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-08-02 |
| 1902369804 | Keyundra Grant | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-04-09 |
| 1699239103 | Darcelle Deruise | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| 1528522034 | Barbara Doyle | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| 1689148959 | Domonique Patterson | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-18 |
| 1386116481 | Adriana Dechelle Cooper | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2018-12-30 |
| 1174098701 | Jennifer Dickinson | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2018-10-10 |
| 1649767880 | Amber Flournoy | Counselor | 601 Homer Rd, Minden, LA 71055 | 2018-04-13 |
| 1033612171 | Sketea Walker | Counselor | 601 Homer Rd, Minden, LA 71055 | 2018-03-15 |
| 1003320250 | Andre Hampton | Counselor | 601 Homer Rd, Minden, LA 71055 | 2017-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| 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 |
|---|---|---|---|---|
| 1992152763 | Hope Care Foundation | Community/Behavioral Health | 609 Goodwill St, Minden, LA 71055-2423 | 2016-05-20 |
| 1437537461 | Ctl Solutions, LLC | Community/Behavioral Health | 1119 Homer Rd, Minden, LA 71055-3027 | 2015-05-11 |
| 1760763452 | Tender Kare Professional Counseling Service LLC | Community/Behavioral Health | 636 Shreveport Rd, Minden, LA 71055 | 2011-09-08 |
| 1992993521 | Willis Consulting | Community/Behavioral Health | 801 Shreveport Rd, Minden, LA 71055-3829 | 2007-10-09 |
| 1124242573 | Family Service Unlimited | Community/Behavioral Health | 409 Meadowview Dr, Minden, LA 71055-3522 | 2007-04-13 |
| 1922558196 | Courtney Allen | Community/Behavioral Health | 409 Meadowview Dr, Minden, LA 71055-3522 | 2016-10-11 |
| 1932565058 | Tender Kare Counseling | Community/Behavioral Health | 215 Main St, Minden, LA 71055-3363 | 2016-01-05 |
| 1528438439 | Tender Kare Counseling Agency | Community/Behavioral Health | 215 Main St, Minden, LA 71055-3363 | 2015-10-05 |
| 1689916876 | Minden Behavioral Health Clinic | Community/Behavioral Health | 435 Homer Rd, Minden, LA 71055-2933 | 2013-03-26 |
| 1891030938 | Depaetment of Health and Hospitals | Community/Behavioral Health | 435 Homer Rd, Minden, LA 71055-2933 | 2012-11-30 |
| Find all providers in MINDEN | ||||
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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.