| Changing Lanes Intervention Human Services | |
|
500 Lanier Ave W Ste 608 Fayetteville GA 30214-7644 | |
| (770) 580-4116 | |
| (888) 522-1055 |
| Full Name | Changing Lanes Intervention Human Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 500 Lanier Ave W Ste 608, Fayetteville, Georgia |
| Authorized Official Name and Position | Ashley Martin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7705804116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lanes Intervention Human Services 500 Lanier Ave W Ste 608 Fayetteville GA 30214-7644 Ph: (770) 256-3977 | Changing Lanes Intervention Human Services 500 Lanier Ave W Ste 608 Fayetteville GA 30214-7644 Ph: (770) 580-4116 |
| NPI Number | 1528707643 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528707643 | NPI | - | NPPES |
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