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LIFE CHANGING BEHAVIORAL HEALTH SERVICES NPI 1811208747


NPI Information

NPI: 1811208747
Provider Name: LIFE CHANGING BEHAVIORAL HEALTH SERVICES
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
314 S MAIN ST
FAIRMONT, NC
ZIP 28340
Phone: (910) 628-6476
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LIFE CHANGING BEHAVIORAL HEALTH SERVICES is a psychiatry psychiatry neurology in Fairmont, NC. The provider is 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. LIFE CHANGING BEHAVIORAL HEALTH SERVICES NPI is 1811208747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

314 S MAIN ST
FAIRMONT, NC
ZIP 28340-906
Phone: (910) 628-6476
Fax: (910) 628-6531

The provider's authorized official is Luis Roman .
The authorized official title is Coo and has the following contact phone number (910) 770-2682.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P2900XPsychiatry & NeurologyPain MedicineNo
22084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
42084P0015XPsychiatry & NeurologyPsychosomatic MedicineNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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