| Changing Communities Llc | |
|
1651 Highway 177 Wallace SC 29596-5310 | |
| (980) 272-0063 | |
| Not Available |
| Full Name | Changing Communities Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1651 Highway 177, Wallace, South Carolina |
| Authorized Official Name and Position | Latrice Mcrae (CEO) |
| Authorized Official Contact | 9196383353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Communities Llc 634 2nd St Cheraw SC 29520-1824 Ph: (919) 638-3353 | Changing Communities Llc 1651 Highway 177 Wallace SC 29596-5310 Ph: (980) 272-0063 |
| NPI Number | 1396503538 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396503538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Emotions 4life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Plymouth St, Wallace, SC 29596 Phone: 843-623-4305 |