CHANGING PHASES BEHAVIORAL SUPPORT, INC – NPI #1497094205
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CHANGING PHASES BEHAVIORAL SUPPORT, INC is an agency located in MARIETTA, GA. NPPES has assigned the NPI number 1497094205 to CHANGING PHASES BEHAVIORAL SUPPORT, INC on February 14, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 251S00000X from the Health Care Provider Taxonomy code set, which is classified as Community/Behavioral Health.

The NPI profile was previously updated about 8 years ago on Aug 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHANGING PHASES BEHAVIORAL SUPPORT, INC below.

NPI Profile for
CHANGING PHASES BEHAVIORAL SUPPORT, INC

NPI Number
1497094205
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHANGING PHASES BEHAVIORAL SUPPORT, INC
Primary location
3655 CANTON RD STE 201
MARIETTA, GA 30066
Phone: (707) 261-1627 Fax: (707) 702-5966
Mailing address
3655 CANTON RD
MARIETTA, GA 30066-2690
Phone: (770) 726-1162 Fax: (770) 702-5966
Organization Subpart
No
Authorized Official
MYA CULLINS
VICE PRESIDENT
Phone: (336) 268-6469
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251S00000X
- Community/Behavioral Health (Primary)
207R00000X
- Internal Medicine
GA 25937

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.