Organization · Type 2 NPI
Changing Phases Behavioral Support, Inc
Community/Behavioral Health Agency · Marietta, GA
Practice location
3655 Canton Rd Ste 201
Marietta, GA 30066
Fax (707) 702-5966
Mailing address
3655 Canton Rd
Marietta, GA 30066-2690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 25937 (GA) |
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: 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 suppo…
5 other providers at this address
- Courtney Brooke Pollard, R.N.Registered Nurse Marietta, GA NPI 1811442726
- Delacia Gail, CADCIIAddiction (Substance Use Disorder) Counselor Marietta, GA NPI 1457840852
- Errick ThorntonAddiction (Substance Use Disorder) Counselor Marietta, GA NPI 1639668957
- Gina Marie Williams, CADCIIAddiction (Substance Use Disorder) Counselor Marietta, GA NPI 1174012579
- Kimberly McFaddenLicensed Practical Nurse Marietta, GA NPI 1396234712
Other community/behavioral health agency providers in Marietta
- Cobb County Community Services BoardCommunity/Behavioral Health Agency Marietta, GA NPI 1033259023
- Talk Forward, LLCCommunity/Behavioral Health Agency Marietta, GA NPI 1043814924
- Atlanta Psychoterapy and Consulting, LLCCommunity/Behavioral Health Agency Marietta, GA NPI 1104256437
- Cobb County Community Services BoardCommunity/Behavioral Health Agency Marietta, GA NPI 1104966977
- Merge Health Fitness and Nutrition, Inc.Community/Behavioral Health Agency Marietta, GA NPI 1124849989
- Relational Choice Counseling, LLCCommunity/Behavioral Health Agency Marietta, GA NPI 1144990581
- Cobb County Community Services BoardCommunity/Behavioral Health Agency Marietta, GA NPI 1154460871
- Jads Services Inc.Community/Behavioral Health Agency Marietta, GA NPI 1154578177
About NPI 1497094205
Changing Phases Behavioral Support, Inc's National Provider Identifier is 1497094205, issued on Feb 14, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Marietta, GA. The record was last updated on Aug 17, 2018.