Organization
LIFE CHANGING BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ROMAN (COO)
(910) 770-2682
Entity
Organization
Contact information
Practice address
314 S MAIN ST, FAIRMONT, NC 28340-1906
(910) 628-9091
(910) 628-9093
Mailing address
314 S MAIN ST, FAIRMONT, NC 28340-1906
(910) 628-9091
(910) 628-9093
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up