Takes a Village for Change LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TAKES A VILLAGE FOR CHANGE LLC

Practice address

413 Eastern Blvd
Essex, MD 21221-6715

Phone

(410) 689-5057

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Shears Coates

Title

Owner

Phone

(410) 689-5057

Specialties & licenses 1

Addresses

Other names 1

• Takes A Village For Change LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Takes a Village for Change LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Takes a Village for Change LLC

  • Community/Behavioral Health Agency
  • Essex, MD
  • NPI 1316724040
  NPD tax ID
• Takes a Village for Change LLC

  • Community/Behavioral Health Agency
  • Essex, MD
  • NPI 1760261267
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susanah Oluwatoyin Kolapo

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1467134270

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1497532220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 BAYBRIAR RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212225403",
            "telephone_number": "410-689-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "410-689-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKES A VILLAGE FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "SHEARS COATES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-689-5057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takes A Village For Change LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Takes A Village For Change LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sure Anchor Christian Counseling
• Shawntel Swann
• Masiuddin Syed
• Natalie R Sykes, PT
• Takes a Village for Change LLC
• Takes a Village for Change LLC
• Ebony Talley
• Ganesh Tamang, NP
• Jonas Saquilayan Tapangan, PT
• George Ndi Tebeck, RPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Essex, MD
• Providers in Essex, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.