| Changing Lives Family Services Llc | |
|
900 Granby St Ste 239 Norfolk VA 23510-2503 | |
| (757) 309-0104 | |
| Not Available |
| Full Name | Changing Lives Family Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 900 Granby St Ste 239, Norfolk, Virginia |
| Authorized Official Name and Position | Catrina Banks (OWNER) |
| Authorized Official Contact | 7573090104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lives Family Services Llc 900 Granby St Ste 239 Norfolk VA 23510-2503 Ph: (757) 309-0104 | Changing Lives Family Services Llc 900 Granby St Ste 239 Norfolk VA 23510-2503 Ph: (757) 309-0104 |
| NPI Number | 1699300160 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699300160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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