| Changing By Choice | |
|
6001 Lakeside Ave Ste 23 Henrico VA 23228-5748 | |
| (804) 495-3000 | |
| (804) 495-3003 |
| Full Name | Changing By Choice |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6001 Lakeside Ave Ste 23, Henrico, Virginia |
| Authorized Official Name and Position | Arcelia Miller-jackson (CEO) |
| Authorized Official Contact | 8044953000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing By Choice 2510 Edenbrook Dr Henrico VA 23228-3038 Ph: (804) 420-5405 | Changing By Choice 6001 Lakeside Ave Ste 23 Henrico VA 23228-5748 Ph: (804) 495-3000 |
| NPI Number | 1801409438 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801409438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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