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CHANGING BEHAVIOR SERVICES, LLC
NPI 1902103617
Community/Behavioral Health in Shreveport, LA

Active since February 15, 2011
1434 HAWN AVE, STE. 12, SHREVEPORT, LA 71107(318) 675-0224(318) 675-0226 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changing Behavior Services, Llc NPPES

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

CHANGING BEHAVIOR SERVICES, LLC (NPI 1902103617) is a healthcare organization registered as a community/behavioral health in Shreveport, Louisiana and active in the NPI registry since February 2011. The organization maintains a secondary practice location in Shreveport and lists Pamela Michelle Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1902103617
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHANGING BEHAVIOR SERVICES, LLC
Location Address1434 HAWN AVE, STE. 12Shreveport, LA 71107-6508
Mailing AddressPo Box 7875Shreveport, LA 71137-7875 · (318) 675-0224 · Fax (318) 675-0226
Phone(318) 675-0224
Fax(318) 675-0226
Organization SubpartNo
Authorized OfficialPamela Michelle PhillipsOwner · (318) 617-5869
Enumeration DateFebruary 15, 2011
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1902103617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in LA · 10111532#MVA42
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.
1434 HAWN AVE, Shreveport, LA 71107
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Secondary Practice Location 1

Location 11434 Hawn Ave, Ste. 12Shreveport, LA 71107-6508 · Phone (318) 675-0224 · Fax (318) 675-0226

Other Providers at the Same Location NPPES 11

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

MR. KIERON RENARD BROOMSEY LCM
Case Manager/Care Coordinator
1434 HAWN AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 422-4459
ANEDRA MINOR BSW, M.ED, NCED
Case Manager/Care Coordinator
1434 HAWN AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 675-0224
MS. FRANKIE JONES
Counselor (Mental Health)
1434 HAWN AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 675-0224
ADRIANE BROOK LAZENBY NORMAN
Case Manager/Care Coordinator
1434 HAWN AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 399-4833
MADDISON NICOLE BENGE
Behavior Technician
1434 HAWN AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 675-0224
MATTHEW HINES
Case Manager/Care Coordinator
1434 HAWN AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 675-0224
MISS AKIKKA JHARNAE WILLIAMS BA
Case Manager/Care Coordinator
1434 HAWN AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 675-0224
TANGEKA SAWYER
Case Manager/Care Coordinator
1434 HAWN AVE, SUITE 12
SHREVEPORT, LA 71107
Caddo Parish (318) 675-0224

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 Changing Behavior Services, LLC's NPI number?

The NPI number for Changing Behavior Services, LLC is 1902103617. It was assigned to this organization in the NPPES registry on February 15, 2011.

Where is Changing Behavior Services, LLC located?

Changing Behavior Services, LLC is located at 1434 Hawn Ave Ste. 12, Shreveport, LA 71107. The listed phone number is (318) 675-0224.

What is Changing Behavior Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Changing Behavior Services, LLC was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.