Life Changers Intervention Services LLC
NPI #1356539795 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1356539795
- Entity Type
- Organization
- Organization Name
- Life Changers Intervention Services LLC
- Primary Specialty
- Case Management
- Enumeration Date
- Oct 10, 2007
- Last Updated
- Apr 24, 2019
Practice Location
- Address
- 5039 MAIN ST SUITE 2
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470
- Phone
- (910) 754-7988
Authorized Official
- Name
- MRS. BEVERLY STANLEY
- Title
- OWNER/EXECUTIVE DIRECTOR
- Phone
- (910) 754-7988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Case Management |
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