Healthcare Provider Details

I. General information

NPI: 1952238610
Provider Name (Legal Business Name): A CHANGE IN ME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 MILL LN
HIGH POINT NC
27265-9184
US

IV. Provider business mailing address

2315 MILL LN
HIGH POINT NC
27265-9184
US

V. Phone/Fax

Practice location:
  • Phone: 336-609-4604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RASHIDA REIVES
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 336-609-4604