OrganizationActive
Changing Lives Behavioral Health
NPI 1073031183 · Adolescent and Children Mental Health Clinic/Center · Marshall, TX
Provider details
- NPI number
- 1073031183
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Banks, Member(832) 562-8255
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 E Travis St Ste 208
Marshall, TX 75670-4281
Phone: (832) 562-8255
Street-level locationGet directions
Mailing address
505 E Travis St Ste 208
Marshall, TX 75670-4281
Registry dates
- Enumerated
- 2017-09-08
- Last updated
- 2020-05-26
- Certified
- 2020-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.