I CHOOSE LIFE INC.
NPI 1962196683
Nurse Practitioner - Psychiatric/Mental Health in Mathews, VA

Active since June 06, 2023
75 MAIN STREET, STE E, MATHEWS, VA 23109(804) 725-3041(804) 725-3510 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2023, Jun 6, 2023 (2 updates tracked since 2023).

About I Choose Life Inc. NPPES

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

I CHOOSE LIFE INC. (NPI 1962196683) is a healthcare organization registered as a psychiatric/mental health in Mathews, Virginia and active in the NPI registry since June 2023. The organization lists Debra Moore Zierow, Owner, as its authorized official.

NPPES Registry Identity

NPI1962196683
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHE CHANGING TIDE BODY MIND & SPIRIT PC DBA I CHOOSE LIFE INC.
Location Address75 MAIN STREET, STE EMathews, VA 23109
Mailing AddressPo Box 327Mathews, VA 23109-0327 · (804) 725-3041 · Fax (804) 725-3510
Fax(804) 725-3510
Organization SubpartYesParent: The Changing Tide Body, Mind & Spirit P.c.
Authorized OfficialDebra Moore ZierowOwner · (804) 725-3041
Enumeration DateJune 6, 2023
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1962196683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
75 MAIN STREET, Mathews, VA 23109

Other Names 1

Doing Business AsI Choose Life Inc.

Other Identifiers 2

Medicaid2019115759VA
OtherVVU978C639VA · Medicare

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

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 The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc.'s NPI number?

The NPI number for The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc. is 1962196683. It was assigned to this organization in the NPPES registry on June 6, 2023. The provider is doing business as I Choose Life Inc..

Where is The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc. located?

The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc. is located at 75 Main Street Ste E, Mathews, VA 23109. The listed phone number is (804) 725-3041.

What is The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc. was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.