Changing Cycles, Llc

LBN: Changing Cycles, Llc
Changing Cycles, Llc is an health care organization with primary practice located at 14460 Old Mill Rd Suite 201, Upper Marlboro MD 20772-3092. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Changing Cycles, Llc can be contacted via phone (301) 357-6605, or through Thomas-Kelly, Keyona Shantrice via phone (301) 357-6605.

Contact Information

Primary practice address
14460 Old Mill Rd Suite 201 Upper Marlboro MD 20772-3092
Fax:
Website:
Authorized official contact:
Name: Thomas-Kelly, Keyona Shantrice PSY.D., MA, LCPC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2555 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC13986 District of Columbia

Profile Details

NPI number 1265713705
LBN Legal business name Changing Cycles, Llc
DBA Doing business as
Authorized official Thomas-Kelly, Keyona Shantrice PSY.D., MA, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2011
Last updated Mar 15th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265713705 NPPES
Maryland MEDICAID 440314200

Popular Providers