Change Your World Mental Health Agency

LBN: Change Your World Mental Health Agency
Change Your World Mental Health Agency is an health care organization with primary practice located at 4807 N State St Ste 401 , Jackson MS 39206-4826. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Change Your World Mental Health Agency can be contacted via phone (601) 316-6163, or through Daniels, Shirley via phone (601) 316-6163.

Contact Information

Primary practice address
4807 N State St Ste 401 Jackson MS 39206-4826
Phone: (601) 316-6163
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Shirley
Phone: (601) 316-6163

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1720476906
LBN Legal business name Change Your World Mental Health Agency
DBA Doing business as
Authorized official Daniels, Shirley
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2014
Last updated Dec 23rd, 2014 - about 10 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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