Changing Life'S Direction, Llc in Corrales - Community/behavioral Health
Changing Life'S Direction, Llc - NPI 1104073451
Changing Life'S Direction, Llc is a Community/behavioral Health in Corrales, New Mexico. Changing Life'S Direction, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Changing Life'S Direction, Llc is 1104073451. The last update date is 2008-08-19.
Changing Life'S Direction, Llc's current location address is 122 Ashley Ln, Corrales, New Mexico. You can contact this provider via phone number 5054501948. The mailing address for Changing Life'S Direction, Llc is 122 Ashley Ln, Corrales, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Changing Life'S Direction, Llc |
|---|---|
| Address | 122 Ashley Ln, Corrales, New Mexico |
| Phone Number | 5054501948 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/THER |
|---|---|
| Authorized Official Name | Ginga Marie |
| Credentials | LPCC |
| Telephone Number | 5054501948 |
NPI Number Detail
| NPI Number | 1104073451 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 122 Ashley Ln |
|---|---|
| City | Corrales |
| State | New Mexico (NM) |
| Post Code | 870488922 |
| Phone Number | 5054501948 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 83821 |
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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 dis |
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Post Comment/ Review Below
What is the unique identifier code issued to Changing Life'S Direction, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Changing Life'S Direction, Llc has been assigned the NPI (National Provider Identifier) 1104073451. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Changing Life'S Direction, Llc?
The Changing Life'S Direction, Llc is physically situated at 122 Ashley Ln, in the city of Corrales, state of NM, with the postal code 870488922.
What is the area of specialization for Changing Life'S Direction, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Changing Life'S Direction, Llc is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Changing Life'S Direction, Llc receive the assignment of its 1104073451 from the Centers for Medicare & Medicaid Services?
The Changing Life'S Direction, Llc was issued its 1104073451 by the Centers for Medicare & Medicaid Services on 2008-08-19.
When was the information regarding Changing Life'S Direction, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Changing Life'S Direction, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-19.