Organization · Type 2 NPI
Changing Lanes Intervention Human Services
Professional Counselor · Fayetteville, GA
NPI number
1528707643
Active
Practice location
500 Lanier Ave W Ste 608
Fayetteville, GA 30214-7644
Fax (888) 522-1055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Behavior Analyst | 103K00000X | None listed |
| Psychologist | 103T00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1528707643
Changing Lanes Intervention Human Services's National Provider Identifier is 1528707643, issued on May 27, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, GA. The record was last updated on Apr 12, 2024.