Changing Fazes Youth & Family Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGING FAZES YOUTH & FAMILY SERVICES, INC.

Practice address

2025 E Main St Ste 212
Richmond, VA 23223-7073

Phone

(804) 344-3730

Fax

(804) 344-3731

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Ebony Sauls

Title

Executive Director

Phone

(804) 344-3730

Specialties & licenses 1

Addresses

Tax ID family

Changing Fazes Youth Family Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Changing Fazes Youth & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1740366566
  NPD tax ID

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1811129299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 212",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237073",
            "telephone_number": "804-344-3730",
            "fax_number": "804-344-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 212",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237073",
            "telephone_number": "804-344-3730",
            "fax_number": "804-344-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING FAZES YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-344-3730"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Chang, MD
• Nevan N Chang, M.D.
• Changing Dynamics-Changing Lives, LLC
• Changing Faces Youth Services LLC
• Changing Fazes Youth & Family Services, Inc.
• Changing Fazes Youth and Family Services, Inc
• Chantero Inc
• Chantero Inc
• Chantero Inc
• Chantero Inc

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, 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 Aug 18, 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.