Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Changing Lanes Intervention Human Services

Organization Professional Counselor · NPI 1528707643

Changing Lanes Intervention Human Services is a Professional Counselor in Fayetteville, Georgia. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

500 Lanier Ave W Ste 608
Fayetteville, GA 30214-7644
Phone: (770) 580-4116
Fax: (888) 522-1055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Behavior Analyst Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1528707643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Martin — Chief Executive Officer · (770) 580-4116
NPI enumeratedMay 27, 2022
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address500 Lanier Ave W Ste 608, Fayetteville, GA 30214-7644

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