Organization
LIFE CHANGERS INTERVENTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY STANLEY (OWNER/EXECUTIVE DIRECTOR)
(910) 754-7988
Entity
Organization
Contact information
Practice address
5039 MAIN ST SUITE 2, SHALLOTTE, NC 28470
(910) 754-7988
Mailing address
5039 MAIN ST SUITE 2, SHALLOTTE, NC 28470
(910) 754-7988
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/10/2007
Last updated
04/24/2019
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