NPI age
13 years
Enumerated 2013-02-14
● Active Type 2 · Organization
Changing Phases Behavioral Support, Inc
Changing Phases Behavioral Support, Inc is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cullins
Vice President
Last NPPES update
2018-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-02Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
3655 Canton Rd Ste 201
Marietta, GA 30066
Mailing address
3655 Canton Rd
Marietta, GA 300662690
Authorized official
Mya S Cullins, LCASA
Vice President
📞 3362686469
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Delacia Gail, CADCII Counselor NPI 1457840852
- Kimberly McFadden Licensed Practical Nurse NPI 1396234712
- Courtney Pollard, R.N. Registered Nurse NPI 1811442726
- Errick Thornton Counselor NPI 1639668957
- Gina Williams, CADCII Counselor NPI 1174012579
Specialties
-
Community/Behavioral Health PrimaryA 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...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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