Be the Change Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BE THE CHANGE COMMUNITY SERVICES

Practice address

468 Investors PL Ste 204E
Virginia Beach, VA 23452-1109

Phone

(757) 372-1086

NPI assigned

Apr 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marquise Hardison

Title

Co-Ceo

Phone

(757) 372-1086

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1285489765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W WASHINGTON ST APT 107",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345270",
            "telephone_number": "757-372-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 INVESTORS PL STE 204E",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521109",
            "telephone_number": "757-372-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE THE CHANGE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "MARQUISE",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "757-372-1086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Be Bold Therapeutic Services
• Be the Change Therapeutic Services LLC
• Beach Behavioral ABA,LLC
• Beach Counseling Center LLC
• Beach Counseling, LLC
• Beach Eclinic LLC

• Community/Behavioral Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.