Organization
LIFE CHANGING BEHAVIORAL HEALTH SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ROMAN (COO)
(910) 628-9091
Entity
Organization
Contact information
Practice address
3450 JAMES B WHITE HWY S, WHITEVILLE, NC 28472-8678
(910) 640-1783
(910) 207-6505
Mailing address
3450 JAMES B WHITE HWY S, WHITEVILLE, NC 28472-8678
(910) 640-1783
(910) 628-9091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
01/04/2019
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