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

Changing Phases Behavioral Support

Organization Community/Behavioral Health Agency · NPI 1811057045

Changing Phases Behavioral Support is a Community/Behavioral Health Agency in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1609 Clemmons St
Greensboro, NC 27406-2870
Phone: (336) 333-2542
Fax: (336) 333-2858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL-041-794 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X · Licence MHL-041-894 (NC)

Record details

NPI number1811057045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quinten Cullins — Program Director · (336) 333-2542
Other names Changing Phases Behavioral Support One
NPI enumeratedDecember 11, 2006
Last updated in NPPESMarch 12, 2012
Mailing address338 N Elm St, Suite 215, Greensboro, NC 27401-2177

Other providers in Greensboro