| Circle Of Change, Llc | |
|
345 Jackson Farm Ln Bumpass VA 23024-3235 | |
| (804) 441-1786 | |
| Not Available |
| Full Name | Circle Of Change, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 345 Jackson Farm Ln, Bumpass, Virginia |
| Authorized Official Name and Position | Latonya Michelle Robinson (CEO) |
| Authorized Official Contact | 8044411786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Change, Llc 345 Jackson Farm Ln Bumpass VA 23024-3235 Ph: (804) 441-1786 | Circle Of Change, Llc 345 Jackson Farm Ln Bumpass VA 23024-3235 Ph: (804) 441-1786 |
| NPI Number | 1093572729 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093572729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Box Elder Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 254 Rainbow Ridge, Bumpass, VA 23024 Phone: 757-274-7527 |