Life Changing Behaviral Health Services | |
314 S Main St Fairmont NC 28340-1906 | |
(910) 628-9091 | |
(910) 628-9093 |
Full Name | Life Changing Behaviral Health Services |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 314 S Main St, Fairmont, North Carolina |
Authorized Official Name and Position | Luis Roman (COO) |
Authorized Official Contact | 9107702682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Changing Behaviral Health Services 314 S Main St Fairmont NC 28340-1906 Ph: (910) 628-9091 | Life Changing Behaviral Health Services 314 S Main St Fairmont NC 28340-1906 Ph: (910) 628-9091 |
NPI Number | 1912137050 |
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Provider Enumeration Date | 07/23/2009 |
Last Update Date | 06/18/2010 |
Identifier | Type | State | Issuer |
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1912137050 | NPI | - | NPPES |
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Life Changing Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 S Main St, Fairmont, NC 28340 Phone: 910-628-6476 Fax: 910-628-6531 |