| Changing Lanes, Llc | |
|
534 N Main St Emporia VA 23847-1236 | |
| (434) 632-0220 | |
| Not Available |
| Full Name | Changing Lanes, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 534 N Main St, Emporia, Virginia |
| Authorized Official Name and Position | Liquitta Atkins Lee (CEO/OWNER) |
| Authorized Official Contact | 4348296649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lanes, Llc 1506 W End Dr Emporia VA 23847-2780 Ph: (434) 829-6649 | Changing Lanes, Llc 534 N Main St Emporia VA 23847-1236 Ph: (434) 632-0220 |
| NPI Number | 1164130928 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164130928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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