A CHANCE FOR CHANGE LLC NPI 1568094225

NPI Information

NPI: 1568094225
Provider Name: A CHANCE FOR CHANGE LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
999 WATERSIDE DR STE 2525
NORFOLK, VA
ZIP 23510
Phone: (757) 777-3454
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A CHANCE FOR CHANGE LLC is an addiction (substance use disorder) counselor in Norfolk, VA. A CHANCE FOR CHANGE LLC NPI is 1568094225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

999 WATERSIDE DR STE 2525
NORFOLK, VA
ZIP 23510-316
Phone: (757) 777-3454
Fax: (757) 568-7437

The provider's authorized official is Amanda Colemon .
The authorized official title is Chief Executive Officer and has the following contact phone number (980) 745-9867.

The enumeration date for this NPI number is 2/10/2020 and was last updated on 8/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	171M00000X	Case Manager/Care Coordinator		No
4	225C00000X	Rehabilitation Counselor		No
5	251S00000X	Community/Behavioral Health		No
6	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	No
7	405300000X	Prevention Professional		No
8	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1417573189	MEDICAID	VIRGINIA
2	1427603182	MEDICAID	VIRGINIA
3	1609289479	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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