Organization
CHANGE LANES YOUTH SUPPORT SERVICES
Active
Other names
Change Lanes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA D. HUNTER-SPEARS MA, CATC (EXECUTIVE DIRECTOR)
(661) 948-2555
Entity
Organization
Contact information
Practice address
45118 13TH ST W, LANCASTER, CA 93534-2156
(661) 948-5555
(661) 878-9130
Mailing address
45118 13TH STREET WEST, UNIT 1D, LANCASTER, CA 93534-2156
(661) 948-2555
(661) 878-9130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10007140
CA
252Y00000X
Early Intervention Provider Agency
10007140
CA
305S00000X
Point of Service
10023326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669948832
—
CA
05
—
1750686598
—
CA
05
—
1952597627
—
CA
05
—
197467
—
CA
Enumeration date
10/31/2007
Last updated
12/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us