Changing Phases Behavioral Support, Inc

LBN: Changing Phases Behavioral Support, Inc
Changing Phases Behavioral Support, Inc is an health care organization with primary practice located at 3655 Canton Rd Ste 201 , Marietta GA 30066. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Changing Phases Behavioral Support, Inc can be contacted via phone (707) 261-1627, or through Cullins, Mya S via phone (336) 268-6469.

Contact Information

Primary practice address
3655 Canton Rd Ste 201 Marietta GA 30066
Phone: (707) 261-1627
Fax: (707) 702-5966
Website:
Map and Directions
Authorized official contact:
Name: Cullins, Mya S LCASA
Phone: (336) 268-6469

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25937 Georgia
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1497094205
LBN Legal business name Changing Phases Behavioral Support, Inc
DBA Doing business as
Authorized official Cullins, Mya S LCASA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2013
Last updated Aug 17th, 2018 - about 8 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.

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