Indelible Changes Llc
LBN: Indelible Changes Llc
Indelible Changes Llc is an health care organization with primary practice located at 12890 Harbor Dr , Woodbridge VA 22192-2921. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Indelible Changes Llc can be contacted via phone (570) 316-1020, or through Williams, Nicholas Antonio via phone (703) 474-0585.
Contact Information
Primary practice address
12890 Harbor Dr
Woodbridge VA 22192-2921
Phone: (570) 316-1020
Fax:
Website:
Authorized official contact:
Name: Williams, Nicholas Antonio Licensed Professional Counselor (LPC)
Phone: (703) 474-0585
Health care specialties
Profile Details
| NPI number | 1720540107 |
|---|---|
| LBN Legal business name | Indelible Changes Llc |
| DBA Doing business as | |
| Authorized official | Williams, Nicholas Antonio Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2019 |
| Last updated | Dec 14th, 2022 - about 3 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 | 1720540107 | NPPES |
| Virginia | MEDICAID | 575326118 |
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