NPI: 1891317657
Provider Name: CHANGING LIVES THERAPEUTIC SERVICE, LLC
Doing Business As: CHANGING LIVES THERAPEUTIC SERVICE,LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
413 MOUNT CROSS RD STE 102
DANVILLE, VA
ZIP 24540
Phone: (888) 388-8726
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CHANGING LIVES THERAPEUTIC SERVICE, LLC is a mental health (including community mental health center) clinic center in Danville, VA. CHANGING LIVES THERAPEUTIC SERVICE, LLC NPI is 1891317657. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Changing Lives Therapeutic Service,llc.
The provider's business location address is:
413 MOUNT CROSS RD STE 102
DANVILLE, VA
ZIP 24540-089
Phone: (888) 388-8726
The provider's authorized official is Cemetrius Rolle .
The authorized official title is Co-owner and has the following contact phone number (980) 833-1121.
The enumeration date for this NPI number is 5/14/2020 and was last updated on 6/15/2023.