| Centered On Change, Llc | |
|
31 S Braddock St Suite 206 Winchester VA 22601-4144 | |
| (540) 662-7900 | |
| (540) 662-7900 |
| Full Name | Centered On Change, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 31 S Braddock St, Winchester, Virginia |
| Authorized Official Name and Position | Michelle Ann Laporte (OWNER) |
| Authorized Official Contact | 5406627900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered On Change, Llc 31 S Braddock St Suite 206 Winchester VA 22601-4144 Ph: (540) 662-7900 | Centered On Change, Llc 31 S Braddock St Suite 206 Winchester VA 22601-4144 Ph: (540) 662-7900 |
| NPI Number | 1972934834 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972934834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904008081 (Virginia) | Primary |
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