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NPI Code Detail

MEDICARE: EMPOWERING YOU FOR POSITIVE CHANGE

MEDICARE: EMPOWERING YOU FOR POSITIVE CHANGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency1504VA

General Provider Information

NPI Number : 1538446679
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWERING YOU FOR POSITIVE CHANGE
Provider Business Mailing Address
First Line : 5649 S LABURNUM AVE
Second Line :
City : HENRICO
State : VA
Zip : 23231-4418
Country : US
Telephone Number : 804-789-1314
Fax Number : 804-482-3767
Provider Business Practice Location Address
First Line : 5649 S LABURNUM AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23231-4418
Country : US
Telephone Number : 804-789-1314
Fax Number : 804-789-1314
Authorized Official
Title or Position : COMPLIANCE MANAGER
Name : DOROTHY GREEN
Credential :
Telephone Number : 804-965-3497
Provider Enumeration Date : 11/03/2011
Last Update Date : 05/21/2026

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Directions to “EMPOWERING YOU FOR POSITIVE CHANGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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