Unbridled Change

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

UNBRIDLED CHANGE

Practice address

754 Ridge Mountain Dr
Boones Mill, VA 24065-4724

Phone

(540) 719-2171

Fax

(540) 719-2172

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Sheree Holling-Brooks

Title

Executive Director

Phone

(540) 719-2171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1609018035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BOONES MILL",
            "state": "VA",
            "postal_code": "240650157",
            "telephone_number": "540-719-2171",
            "fax_number": "540-719-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 RIDGE MOUNTAIN DR",
            "city": "BOONES MILL",
            "state": "VA",
            "postal_code": "240654724",
            "telephone_number": "540-719-2171",
            "fax_number": "540-719-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBRIDLED CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "HOLLING-BROOKS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-719-2171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Boones Mill, VA
• Providers in Boones Mill, VA by specialty
• Voluntary or Charitable Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.