| Changing Phases International Llc | |
|
1285 N King St Ste 16 Hampton VA 23669-2233 | |
| (757) 532-1654 | |
| Not Available |
| Full Name | Changing Phases International Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1285 N King St Ste 16, Hampton, Virginia |
| Authorized Official Name and Position | Robbins Houston (DEPUTY CEO) |
| Authorized Official Contact | 7575321654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Phases International Llc 1285 N King St Ste 16 Hampton VA 23669-2233 Ph: (757) 532-1654 | Changing Phases International Llc 1285 N King St Ste 16 Hampton VA 23669-2233 Ph: (757) 532-1654 |
| NPI Number | 1558945758 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558945758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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