Changing Communities LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGING COMMUNITIES LLC

Practice address

1651 Highway 177
Wallace, SC 29596-5310

Phone

(980) 272-0063

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Latrice McRae

Title

Ceo

Phone

(919) 638-3353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1396503538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 2ND ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295201824",
            "telephone_number": "919-638-3353",
            "fax_number": "919-869-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 HIGHWAY 177",
            "city": "WALLACE",
            "state": "SC",
            "postal_code": "295965310",
            "telephone_number": "980-272-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING COMMUNITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-638-3353"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chessica Stewart
• Wallace Fire Rescue

• Community/Behavioral Health Agency in Wallace, SC
• Providers in Wallace, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.