Adapt, Grip & Stephenie Roberts, Lscsw

LBN: Change Your Life Enterprises, Inc.
Adapt, Grip & Stephenie Roberts, Lscsw is an health care organization with primary practice located at 9505 W. Central Ste. 103, Wichita KS 67212-3832. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Change Your Life Enterprises, Inc. can be contacted via phone (316) 721-0971, or through Roberts, Stephenie Ann via phone (316) 721-0971.

Contact Information

Primary practice address
9505 W. Central Ste. 103 Wichita KS 67212-3832
Phone: (316) 721-0971
Fax: (316) 512-4070
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Stephenie Ann LSCSW
Phone: (316) 721-0971

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1949 Kansas
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 547 Kansas

Profile Details

NPI number 1003895988
LBN Legal business name Change Your Life Enterprises, Inc.
DBA Doing business as Adapt, Grip & Stephenie Roberts, Lscsw
Authorized official Roberts, Stephenie Ann LSCSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003895988 NPPES
Kansas MEDICAID 565012

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