| A Chance For Change Llc | |
|
999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 | |
| (757) 777-3454 | |
| (757) 568-7437 |
| Full Name | A Chance For Change Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 999 Waterside Dr Ste 2525, Norfolk, Virginia |
| Authorized Official Name and Position | Amanda Colemon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9807459867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Chance For Change Llc 999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 Ph: (757) 777-3454 | A Chance For Change Llc 999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 Ph: (757) 777-3454 |
| NPI Number | 1568094225 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568094225 | NPI | - | NPPES |
| 1417573189 | Medicaid | VA | |
| 1427603182 | Medicaid | VA | |
| 1609289479 | Medicaid | VA |
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