CHANGING LIVES THERAPEUTIC SERVICE, LLC - NPI 1891317657 - Community/Behavioral Health in Danville, VA

Q: What is Changing Lives Therapeutic Service, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Changing Lives Therapeutic Service, Llc NPPES

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

CHANGING LIVES THERAPEUTIC SERVICE, LLC (NPI 1891317657), doing business as Changing Lives Therapeutic Service,llc, is a healthcare organization registered as a community/behavioral health in Danville, Virginia and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Charlotte and lists Cemetrius Rolle, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1891317657

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCHANGING LIVES THERAPEUTIC SERVICE, LLC

Location Address413 MOUNT CROSS RD STE 102Danville, VA 24540-4089

Mailing Address8825 University East Dr Ste 200Charlotte, NC 28213-4395 · (980) 833-1121

Phone(888) 388-8726

Organization SubpartNo

Authorized OfficialCemetrius RolleCo-owner · (980) 833-1121

Enumeration DateMay 14, 2020

Last NPPES UpdateMarch 24, 20255 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1891317657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPeer SpecialistTaxonomy 175T00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

413 MOUNT CROSS RD STE 102, Danville, VA 24540

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Other Names 1

Doing Business AsChanging Lives Therapeutic Service,llc

Secondary Practice Location 1

Location 18825 University East Dr Ste 200Charlotte, NC 28213-4395 · Phone (980) 883-1121

Other Identifiers 2

Medicaid1295117760NC

Medicaid1922582998NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Changing Lives Therapeutic Service, LLC's NPI number?

The NPI number for Changing Lives Therapeutic Service, LLC is 1891317657. It was assigned to this organization in the NPPES registry on May 14, 2020. The provider is doing business as Changing Lives Therapeutic Service,llc.

Where is Changing Lives Therapeutic Service, LLC located?

Changing Lives Therapeutic Service, LLC is located at 413 Mount Cross Rd Ste 102, Danville, VA 24540. The listed phone number is (888) 388-8726.

What is Changing Lives Therapeutic Service, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Changing Lives Therapeutic Service, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Changing Lives Therapeutic Service, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Changing Lives Therapeutic Service, LLC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.