Changeworks Psychotherapy & Life Coaching Services, Llc
LBN: Changeworks Psychotherapy & Life Coaching Services, Llc
Changeworks Psychotherapy & Life Coaching Services, Llc is an health care organization with primary practice located at 9218 Centreville Rd , Manassas VA 20110-5131. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Changeworks Psychotherapy & Life Coaching Services, Llc can be contacted via phone (703) 626-0381, or through Fannin, Maureen via phone (703) 626-0381.
Contact Information
Primary practice address
9218 Centreville Rd
Manassas VA 20110-5131
Phone: (703) 626-0381
Fax:
Website:
Authorized official contact:
Name: Fannin, Maureen Licensed Clinical Social Worker (LCSW)
Phone: (703) 626-0381
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904004708 | Virginia |
Profile Details
| NPI number | 1326091844 |
|---|---|
| LBN Legal business name | Changeworks Psychotherapy & Life Coaching Services, Llc |
| DBA Doing business as | |
| Authorized official | Fannin, Maureen Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Nov 26th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326091844 | NPPES |
| Virginia | MEDICAID | 10141788 |
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