Provider Demographics
NPI:1013571009
Name:B'S EFFORT CHANGING COUNSELING
Entity Type:Organization
Organization Name:B'S EFFORT CHANGING COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELIMA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-232-2430
Mailing Address - Street 1:1400 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3722
Mailing Address - Country:US
Mailing Address - Phone:704-232-2430
Mailing Address - Fax:800-695-6856
Practice Address - Street 1:1400 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3722
Practice Address - Country:US
Practice Address - Phone:704-232-2430
Practice Address - Fax:800-695-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC34305Medicaid