Organization
CHANGES BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DICKSON SHAW LCSW (THERAPIST)
(901) 570-0556
Entity
Organization
Contact information
Practice address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
Mailing address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5606C
AR
Other
Enumeration date
04/04/2013
Last updated
04/24/2025
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