Provider Demographics
NPI:1386314797
Name:CHANGING LIVES ONE CONVERSATION AT A TIME, LLC
Entity type:Organization
Organization Name:CHANGING LIVES ONE CONVERSATION AT A TIME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-339-5088
Mailing Address - Street 1:1494 CORNERSTONE RD
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:36089-6304
Mailing Address - Country:US
Mailing Address - Phone:334-235-5026
Mailing Address - Fax:
Practice Address - Street 1:214 PRAIRIE ST N STE 7
Practice Address - Street 2:
Practice Address - City:UNION SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:36089-1652
Practice Address - Country:US
Practice Address - Phone:334-339-5088
Practice Address - Fax:334-591-2709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)