Changing Lives Family Services LLC

Primary specialty

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

Legal business name

CHANGING LIVES FAMILY SERVICES LLC

Practice address

900 Granby St Ste 239
Norfolk, VA 23510-2503

Phone

(757) 309-0104

NPI assigned

Mar 5, 2020

Last updated

Mar 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catrina Banks

Title

Owner

Phone

(757) 309-0104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1699300160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 239",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102503",
            "telephone_number": "757-309-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRANBY ST STE 239",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102503",
            "telephone_number": "757-309-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-309-0104"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Chan, MD
• Amanda Victoria Chance, M.D.
• Divya K Chandra
• Esther I-Ping Chang, M.D.
• Justin Chang, MD
• Changing Lives Personal Care (McDole Personal Care LLC)
• Allita Braga Chaplinskiy, NP
• Charis Support Services, Inc
• Charles F. Lovell, Jr., M.D., Facp, P.C.
• Alexandra Peyton Charlton, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.