CHANGES BEHAVIORAL HEALTH, LLC
NPI 1114260486
Community/Behavioral Health in Wynne, AR

Active since April 04, 2013CLIA 04D2269763 · Waiver
204 MISSISSIPPI ST S, WYNNE, AR 72396(870) 208-8499 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changes Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGES BEHAVIORAL HEALTH, LLC (NPI 1114260486) is a healthcare organization registered as a community/behavioral health in Wynne, Arkansas and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through October 2, 2026, maintains a secondary practice location in Marion, and lists Brian Dickson Shaw, Therapist, as its authorized official.

NPPES Registry Identity

NPI1114260486
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHANGES BEHAVIORAL HEALTH, LLC
Location Address204 MISSISSIPPI ST SWynne, AR 72396-3025
Mailing Address204 Mississippi St SWynne, AR 72396-3025 · (870) 208-8499
Organization SubpartNo
Authorized OfficialBrian Dickson ShawTherapist · (901) 570-0556
Enumeration DateApril 4, 2013
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 17, 2025
NPI 1114260486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in AR · 5606C
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
204 MISSISSIPPI ST S, Wynne, AR 72396

Secondary Practice Location 1

Location 1750 Medel Marconi RdMarion, AR 72364 · Phone (870) 208-8499 · Fax (870) 208-8044

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2269763

Changes Behavioral Health LLC · Wynne, AR
Active · expires Oct 2, 2026
CLIA Number04D2269763
Laboratory TypeBehavioral Health
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorBrian Shaw
Laboratory Phone(901) 570-0556
Laboratory LocationChanges Behavioral Health LLC204 Mississippi St, Wynne, AR 72396
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Social Worker (Clinical)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Counselor
204 MISSISSIPPI ST S
WYNNE, AR 72396
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Social Worker (Clinical)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Changes Behavioral Health, LLC's NPI number?

The NPI number for Changes Behavioral Health, LLC is 1114260486. It was assigned to this organization in the NPPES registry on April 4, 2013.

Where is Changes Behavioral Health, LLC located?

Changes Behavioral Health, LLC is located at 204 Mississippi St S, Wynne, AR 72396. The listed phone number is (870) 208-8499.

What is Changes Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Changes Behavioral Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2269763) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Changes Behavioral Health, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Changes Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Changes Behavioral Health, LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.