| Changing Lives Behavioral Health | |
|
505 E Travis St Ste 208 Marshall TX 75670-4281 | |
| (832) 562-8255 | |
| Not Available |
| Full Name | Changing Lives Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 505 E Travis St Ste 208, Marshall, Texas |
| Authorized Official Name and Position | Terry Banks (MEMBER) |
| Authorized Official Contact | 8325628255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lives Behavioral Health 505 E Travis St Ste 208 Marshall TX 75670-4281 Ph: (318) 730-0191 | Changing Lives Behavioral Health 505 E Travis St Ste 208 Marshall TX 75670-4281 Ph: (832) 562-8255 |
| NPI Number | 1073031183 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 05/26/2020 |
| Certification Date | 05/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073031183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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