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General NPI Number Information
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NPI Number | 1902730526
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Entity Type | Organization
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Legal Business Name | CHANGING & SAVING LIVES, LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 11830 CANON BLVD STE J
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2568
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Country | US
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Telephone | 804-659-5125
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Fax |
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Provider Business Mailing Address
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Address Line | 11830 CANON BLVD STE J
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2568
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Country | US
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Telephone | 804-659-5125
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JERRIAH AYANA FREEMAN
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Credential | LPN
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Telephone | 804-659-5125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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