Changing Lanes Intervention Human Services

LBN: Changing Lanes Intervention Human Services
Changing Lanes Intervention Human Services is an health care organization with primary practice located at 500 Lanier Ave W Ste 608 , Fayetteville GA 30214-7644. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Changing Lanes Intervention Human Services can be contacted via phone (770) 580-4116, or through Martin, Ashley via phone (770) 580-4116.

Contact Information

Primary practice address
500 Lanier Ave W Ste 608 Fayetteville GA 30214-7644
Phone: (770) 580-4116
Fax: (888) 522-1055
Website:
Map and Directions
Authorized official contact:
Name: Martin, Ashley LPC,LBA,BCBA,CRPS
Phone: (770) 580-4116

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1528707643
LBN Legal business name Changing Lanes Intervention Human Services
DBA Doing business as
Authorized official Martin, Ashley LPC,LBA,BCBA,CRPS
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2022
Last updated Apr 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers