Changing Phases Behavioral Support, Inc
NPI 1497094205 · Community/Behavioral Health Agency · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Changing Phases Behavioral Support, Inc is a Community/Behavioral Health Agency organization in Marietta, GA (NPI 1497094205).
Provider details
- NPI number
- 1497094205
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mya Cullins, Vice President(336) 268-6469
- License
- 25937 (GA)
Specialties & taxonomies
Agencies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-02-14
- Last updated
- 2018-08-17
Frequently asked questions
- What is Changing Phases Behavioral Support, Inc's NPI number?
- Changing Phases Behavioral Support, Inc's National Provider Identifier (NPI) is 1497094205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changing Phases Behavioral Support, Inc?
- Changing Phases Behavioral Support, Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Changing Phases Behavioral Support, Inc located?
- Changing Phases Behavioral Support, Inc's practice location on file with NPPES is 3655 Canton Rd Ste 201, Marietta, GA 30066.
- What is Changing Phases Behavioral Support, Inc's phone number?
- The practice phone number listed in the NPPES registry for Changing Phases Behavioral Support, Inc is (707) 261-1627.
- Does Changing Phases Behavioral Support, Inc accept Medicare?
- Changing Phases Behavioral Support, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Changing Phases Behavioral Support, Inc?
- The authorized official listed on Changing Phases Behavioral Support, Inc's NPPES record is Mya Cullins, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changing Phases Behavioral Support, Inc's NPI active?
- Yes — Changing Phases Behavioral Support, Inc's NPI (1497094205) is active in the NPPES registry as of the last update on 2018-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.