A CHANCE FOR CHANGE LLC - NPI 1568094225 - Counselor in Norfolk, VA

Q: What is A Chance For Change LLC's NPI number?

The NPI number for A Chance For Change LLC is 1568094225. It was assigned to this organization in the NPPES registry on February 10, 2020.

Q: What is A Chance For Change LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

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About A Chance For Change Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A CHANCE FOR CHANGE LLC (NPI 1568094225) is a healthcare organization registered as an addiction (substance use disorder) in Norfolk, Virginia and active in the NPI registry since February 2020. The organization lists Amanda Colemon, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1568094225

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameA CHANCE FOR CHANGE LLC

Location Address999 WATERSIDE DR STE 2525Norfolk, VA 23510-3316

Mailing Address999 Waterside Dr Ste 2525Norfolk, VA 23510-3316 · (757) 777-3454 · Fax (757) 568-7437

Phone(757) 777-3454

Fax(757) 568-7437

Organization SubpartNo

Authorized OfficialAmanda ColemonChief Executive Officer · (980) 745-9867

Enumeration DateFebruary 10, 2020

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1568094225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedRehabilitation CounselorTaxonomy 225C00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X

Also ListedPrevention ProfessionalTaxonomy 405300000X

999 WATERSIDE DR STE 2525, Norfolk, VA 23510

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Other Identifiers 3

Medicaid1417573189VA

Medicaid1427603182VA

Medicaid1609289479VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DARNETTA RECITIA ARMISTEAD LCSW-S

Social Worker (Clinical)