| Life Changers Intervention Services Llc | |
|
5039 Main St Suite 2 Shallotte NC 28470 | |
| (910) 754-7988 | |
| Not Available |
| Full Name | Life Changers Intervention Services Llc |
|---|---|
| Speciality | Case Management |
| Location | 5039 Main St Suite 2, Shallotte, North Carolina |
| Authorized Official Name and Position | Beverly Stanley (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9107547988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changers Intervention Services Llc 5039 Main St Suite 2 Shallotte NC 28470 Ph: (910) 754-7988 | Life Changers Intervention Services Llc 5039 Main St Suite 2 Shallotte NC 28470 Ph: (910) 754-7988 |
| NPI Number | 1356539795 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 04/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356539795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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