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

Life Changing Behaviral Health Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1912137050

Life Changing Behaviral Health Services is an Addiction (Substance Use Disorder) Counselor in Fairmont, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
7

Practice location Address checks out

314 S Main St
Fairmont, NC 28340-1906
Phone: (910) 628-9091
Fax: (910) 628-9093
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Psychologist Taxonomy 103TC0700X
Social Worker Taxonomy 104100000X

Record details

NPI number1912137050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Roman — Coo · (910) 770-2682
NPI enumeratedJuly 23, 2009
Last updated in NPPESJune 18, 2010
Mailing address314 S Main St, Fairmont, NC 28340-1906

Other providers in Fairmont