NPIMap

Organization Active NPI

Life Changing Behavioral Health Services

  • Community/Behavioral Health Agency
  • Whiteville, NC
National Provider Identifier
1275864266
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE CHANGING BEHAVIORAL HEALTH SERVICES
Practice address
817B S Madison St
Whiteville, NC 28472-4613
Phone
(910) 317-7873
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mr. Luis Roman
Title
Coo
Phone
(910) 770-2682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

817B S Madison St
Whiteville, NC 28472-4613

Mailing address

817B S Madison St
Whiteville, NC 28472-4613
Phone (910) 317-7873

National Provider Directory

National Provider Directory
Tax ID family
Life Changing Behavioral Health Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

817B S Madison St
Whiteville, NC 28472
Phone (910) 207-6761

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1275864266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817B S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724613",
            "telephone_number": "910-317-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817B S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724613",
            "telephone_number": "910-317-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "910-770-2682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.