Changing Places Therapeutic Center, Company

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGING PLACES THERAPEUTIC CENTER, COMPANY

Practice address

1044 Bragg Blvd Ste B
Fayetteville, NC 28301-4512

Phone

(910) 273-9956

NPI assigned

Jan 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bianco Holmon, MSW, LCSWS, LCAS-ANPI 1215331590

Title

Chief Operating Officer

Phone

(910) 273-9956

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bianco Holmon, MSW, LCSW, LCAS-A

  • Clinical Social Worker
  • Hope Mills, NC
  • NPI 1215331590
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1124591094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283480542",
            "telephone_number": "910-273-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BRAGG BLVD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014512",
            "telephone_number": "910-273-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING PLACES THERAPEUTIC CENTER, COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "HOLMON",
        "authorized_official_first_name": "BIANCO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "910-273-9956",
        "authorized_official_credential": "MSW, LCSWS, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Chandler, M.D.
• Dinesh Narasimhaiah Chandra, M.D.
• Naomi S Chang, LAT, LMBT
• Changing Lives Home Care
• Changing Outcomes, LLC
• Changing Ways, Inc.
• Ashley Chanza
• Albert Chao, MD
• Nadashia Chapel
• Karmen Chapin, DPT

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.