Life Changing Behavioral Health Services
Life Changing Behavioral Health Services is a Psychosomatic Medicine Physician in Fairmont, North Carolina. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 5
Practice location Address checks out
314 S Main StFairmont, NC 28340-1906
Phone: (910) 628-6476
Fax: (910) 628-6531
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|---|
| Psychosomatic Medicine Physician | Taxonomy 2084P0015X |
| Addiction Psychiatry Physician | Taxonomy 2084P0802X |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
| Pain Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084P2900X |
Record details
| NPI number | 1811208747 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luis Roman — Coo · (910) 770-2682 |
| NPI enumerated | June 25, 2010 |
| Last updated in NPPES | June 25, 2010 |
| Mailing address | 314 S Main St, Fairmont, NC 28340-1906 |