Change of Heart Behavior Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGE OF HEART BEHAVIOR SERVICES LLC

Practice address

1776 Vista Montana Rd
Las Cruces, NM 88005-6264

Phone

(575) 635-3675

Fax

(575) 541-9082

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Reynaldo Romero Jr., LMSW

Title

Owner

Phone

(575) 635-3675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1689148033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 VISTA MONTANA RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880056264",
            "telephone_number": "575-635-3675",
            "fax_number": "575-541-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 VISTA MONTANA RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880056264",
            "telephone_number": "575-635-3675",
            "fax_number": "575-541-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE OF HEART BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-635-3675",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M. Chamberlin, M.D.
• Tori Chandler, LMHC
• Anandjeet Chandpuri
• Andrew Chaney
• Ren Chang
• Change of Thought Intergrated Health Solutions
• Patricia Vanessa Chaparro, RDH
• Susan 'Christy' Christine Chapman, RN, BSN
• Charles D. Collins, MD, Facs
• Charlie Mike Base Camp

• Community/Behavioral Health Agency in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.